Individual
DR. THEODORE ROBERT SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1840 MEASE DR, SUITE 301, SAFETY HARBOR, FL 34695-6605
(727) 724-2880
(727) 333-6419
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME80589
FL
Other
Enumeration date
07/18/2005
Last updated
02/05/2025
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