Organization
DR SMITH & ASSOCIATES 6958 P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY CHARLES ENGEL (DIRECTOR OF ADMINISTRATION)
(727) 361-0431
Entity
Organization
Contact information
Practice address
13601 S DIXIE HWY, MIAMI, FL 33176-7219
(305) 235-1721
Mailing address
PO BOX 40510, ST PETERSBURG, FL 33743-0510
(727) 361-0431
(727) 344-7952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078682900
—
FL
Enumeration date
06/03/2006
Last updated
11/06/2009
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