Individual
DR. BEAU RYAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
719 NE 1ST TER, CRYSTAL RIVER, FL 34429-4307
(352) 794-1778
Mailing address
719 NE 1ST TER, CRYSTAL RIVER, FL 34429-4307
(352) 794-1778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11307
FL
Other
Enumeration date
07/10/2015
Last updated
09/16/2019
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