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Individual

MICHAEL SMALLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7439 CANTERBURY ST, SPRING HILL, FL 34606-4306
(774) 571-8140
Mailing address
7439 CANTERBURY ST, SPRING HILL, FL 34606-4306
(774) 571-8140

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
06/14/2016
Last updated
06/14/2016
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