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NPI Code Detail

MEDICARE: STEPHEN PATRICK SMITH SA

MEDICARE: STEPHEN PATRICK SMITH SA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist105622778NY
2235Z00000XSpeech-Language PathologistSA17989FL

General Provider Information

NPI Number : 1134732688
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN PATRICK SMITH SA
Provider Business Mailing Address
First Line : 8477 S SUNCOAST BLVD
Second Line :
City : HOMOSASSA
State : FL
Zip : 34446-5028
Country : US
Telephone Number : 352-382-7214
Fax Number : 352-382-7781
Provider Business Practice Location Address
First Line : 100 GLENVIEW PL
Second Line :
City : NAPLES
State : FL
Zip : 34108-3137
Country : US
Telephone Number : 239-591-0011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2020
Last Update Date : 08/25/2020

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Directions to “ STEPHEN PATRICK SMITH SA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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