Individual
MR. DAVID SMITH
Active
Individual
MR. DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, CMDT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020385000
—
FL
01
—
K9101
HARBOR CITY PHYSICAL THERAPY GROUP NUMBER
FL
01
—
PT-20472
STATE OF FL. PT LICENSE
FL
Enumeration date
06/13/2006
Last updated
06/16/2018
Update your record
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