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Individual

CHRISTOPHER R SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
14547 BRUCE B DOWNS BLVD, SUITE C, TAMPA, FL 33613-2709
(813) 979-0440
(813) 355-5054
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107940
FL

Other

Enumeration date
08/20/2012
Last updated
11/10/2014
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