Individual
JAVARJEH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15002 HUTCHISON RD, TAMPA, FL 33625-5509
(813) 960-1969
Mailing address
4732 BELLE CHASE CIR, TAMPA, FL 33634-4256
(239) 443-8758
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
31855
FL
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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