Individual
GORDANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 KENT RD STE 2A, ST AUGUSTINE, FL 32086-6485
(904) 238-1000
Mailing address
5287 CYPRESS LINKS BLVD, ELKTON, FL 32033-4044
(904) 238-1000
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3712
FL
225700000X
Massage Therapist
53210
FL
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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