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NPI Code Detail

MEDICARE: MISS GARRETH ELIZABETH SMOAK

MEDICARE: MISS GARRETH ELIZABETH SMOAK
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
1225200000XPhysical Therapy AssistantFL
22255A2300XAthletic Trainer

General Provider Information

NPI Number : 1134399413
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS GARRETH ELIZABETH SMOAK
Provider Business Mailing Address
First Line : 4820 W NEWBERRY RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32607-2249
Country : US
Telephone Number : 352-373-2116
Fax Number :
Provider Business Practice Location Address
First Line : 4820 W NEWBERRY RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32607-2249
Country : US
Telephone Number : 352-373-2116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2008
Last Update Date : 12/26/2017

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Directions to “ MISS GARRETH ELIZABETH SMOAK ” Practice Location

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