Individual
MR. THOMAS MICHAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
12500 S APOPKA VINELAND RD, ORLANDO, FL 32836
(407) 456-3366
Mailing address
3053 INDIAN RIVER DR NE, PALM BAY, FL 32905-4359
(904) 540-7480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
737
AL
Other
Enumeration date
02/15/2007
Last updated
08/20/2018
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