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NPI Code Detail

MEDICARE: MR. WILLIAM FRANKLIN SMITH JR. NBC-HIS

MEDICARE: MR. WILLIAM FRANKLIN SMITH JR. NBC-HIS
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
1237700000XHearing Instrument SpecialistAS3186FL

General Provider Information

NPI Number : 1154954386
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM FRANKLIN SMITH JR. NBC-HIS
Provider Business Mailing Address
First Line : 4025 20TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-2403
Country : US
Telephone Number : 772-569-0444
Fax Number : 772-567-7266
Provider Business Practice Location Address
First Line : 4025 20TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-2403
Country : US
Telephone Number : 772-569-0444
Fax Number : 772-569-7266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2020
Last Update Date : 02/17/2020

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