Individual
JERRY SCOTT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 S KINGS AVE, BRANDON, FL 33511-5712
(813) 681-4046
Mailing address
201 S KINGS AVE, BRANDON, FL 33511-5712
(813) 681-4046
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5373
FL
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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