Individual
MR. WINSTON O'BRIAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19409 MORDEN BLUSH DR, LUTZ, FL 33558-9096
(813) 789-3001
Mailing address
19409 MORDEN BLUSH DR, LUTZ, FL 33558-9096
(813) 789-3001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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