Individual
MS. GIGI YVETTE SMOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
108 HILLCREST CIR NE, BRANFORD, FL 32008-2948
(386) 935-4070
Mailing address
108 HILLCREST CIR NE, BRANFORD, FL 32008-2948
(386) 935-4070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35784
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12066
DEPARTMENT OF HEALTH
FL
01
—
35784
DEPARTMENT OF HEALTH
FL
01
—
C-2065
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/05/2007
Last updated
10/05/2007
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