Individual
PATRICK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6931 W SUNRISE BLVD, PLANTATION, FL 33313-4406
(954) 583-6200
Mailing address
15108 NW 7TH CT, PEMBROKE PINES, FL 33028-1851
(305) 992-2348
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22867
FL
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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