Individual
MADISON ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 US S HIGHWAY 27, CLERMONT, FL 34711
(352) 394-0212
Mailing address
PO BOX 120547, CLERMONT, FL 34712-0547
(352) 394-0212
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
FL
Other
Enumeration date
10/06/2021
Last updated
02/23/2022
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