Individual
MR. DEREK JOSEPH SMACZNIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 N WEST SHORE BLVD, SUITE 601, TAMPA, FL 33609-1140
(813) 371-3423
Mailing address
600 N WEST SHORE BLVD, SUITE 601, TAMPA, FL 33609-1140
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
FL
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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