Individual
TABMELOR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 18TH AVE S, ST PETERSBURG, FL 33712-2650
(727) 896-3600
Mailing address
2310 18TH AVE S, ST PETERSBURG, FL 33712-2650
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CL1302965
FL
Other
Enumeration date
01/22/2024
Last updated
02/04/2025
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