Individual
PAUL RONALD SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2143 TYRONE BLVD N, ST PETERSBURG, FL 33710-4023
(727) 345-3360
(727) 345-8945
Mailing address
541 64TH AVE, ST PETE BEACH, FL 33706-2105
(727) 360-7962
(727) 360-9698
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1883
FL
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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