Individual
MR. CALVIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
5300 CAROLONA WAY S, ST PETERSBURG, FL 33712-4932
(727) 365-7422
Mailing address
5300 CAROLONA WAY S, ST PETERSBURG, FL 33712-4932
(727) 365-7422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13388
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888784596
—
FL
Enumeration date
05/06/2007
Last updated
07/09/2007
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