Individual
FREDERICK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11301 CORPORATE BLVD, SUITE 101, ORLANDO, FL 32817-8354
(877) 896-3660
Mailing address
11301 CORPORATE BLVD, SUITE 101, ORLANDO, FL 32817-8354
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
Z20609
LA
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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