Individual
MRS. AIMEE MICHELLE SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
801 TAYLOR RD, PORT ORANGE, FL 32127-4715
(386) 322-6272
(386) 756-7270
Mailing address
1633 WOODMAR DR, PORT ORANGE, FL 32128-6877
(386) 341-0008
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1871
FL
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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