Individual
JACOB SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2370 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL 33544-9214
(813) 973-1033
Mailing address
3045 N COMMERCE PKWY, MIRAMAR, FL 33025-3927
(786) 953-8500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
FL
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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