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Individual

MR. GEORGE LOUIS SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
REGISTERED NURSE

Contact information

Practice address
17620 NW 63RD CT, HIALEAH, FL 33015-4484
(305) 343-7355
(305) 824-5500
Mailing address
17620 NW 63RD CT, HIALEAH, FL 33015-4484
(305) 343-7355
(305) 824-5500

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3285692
FL

Other

Enumeration date
11/27/2012
Last updated
11/27/2012
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