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Individual

EDWARD LOUIS SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPAS

Contact information

Practice address
3812 W EL PRADO BLVD, TAMPA, FL 33629-8613
(229) 293-3040
Mailing address
3812 W EL PRADO BLVD, TAMPA, FL 33629-8613
(229) 293-3040

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
11/22/2005
Last updated
02/21/2013
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