Individual
MR. CARL EDWARD SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRRA
Contact information
Practice address
527 N RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-2107
(386) 319-6160
Mailing address
527 N RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-2107
(386) 319-6160
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
IND-877173
FL
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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