Individual
JEFF SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
231 COURTYARD BLVD, SUN CITY CENTER, FL 33573-5759
(813) 642-7447
Mailing address
1713 S MANHATTAN AVE, TAMPA, FL 33629-5619
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA14287
FL
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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