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Individual

MICHAEL WILLIAM SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.T.

Contact information

Practice address
950 1ST ST S STE 202, WINTER HAVEN, FL 33880-3608
(863) 293-7778
Mailing address
62 SAINT KITTS CIR, WINTER HAVEN, FL 33884-3500
(863) 326-9225

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT 9676
FL

Other

Enumeration date
09/11/2008
Last updated
09/11/2008
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