Individual
MATTHEW JASON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AP
Contact information
Practice address
844 S DUNCAN DR, TAVARES, FL 32778-4044
(352) 253-1009
Mailing address
844 S. DUNCAN DR., TAVARES, FL 32778-4044
(352) 253-1009
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3088
FL
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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