Individual
DR. GREGORY LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14888 TAMIAMI TRAIL, NORTH PORT, FL 34287-2701
(941) 423-2667
(941) 423-3502
Mailing address
14888 TAMIAMI TRAIL, NORTH PORT, FL 34287-2701
(941) 423-2667
(941) 423-3502
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8938
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83000
PROVIDER NUMBER
FL
Enumeration date
02/07/2007
Last updated
07/16/2021
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