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Individual

ANTHONY GRANT SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT,DPT

Contact information

Practice address
1341 ORANGE AVE, WINTER PARK, FL 32789-4909
(407) 691-7687
Mailing address
1285 ORANGE AVE, WINTER PARK, FL 32789-4984
(407) 481-7139
(321) 843-6954

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT33092
FL
2251X0800X
Orthopedic Physical Therapist
Primary
PT33092
FL

Other

Enumeration date
12/13/2017
Last updated
08/31/2021
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