Individual
MR. JOEL W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2300 EL JOBEAN RD, MINOR LEAGUE CLUBHOUSE, PORT CHARLOTTE, FL 33948-1120
(941) 235-5041
Mailing address
2300 EL JOBEAN RD, MINOR LEAGUE CLUBHOUSE, PORT CHARLOTTE, FL 33948-1120
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1862
FL
Other
Enumeration date
05/25/2007
Last updated
10/22/2015
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