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NPI Code Detail

MEDICARE: DR JEFFREY S SMITH INC

MEDICARE: DR JEFFREY S SMITH INC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1699045955
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR JEFFREY S SMITH INC
Provider Business Mailing Address
First Line : 101 S 10TH ST
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-5303
Country : US
Telephone Number : 863-422-1351
Fax Number : 863-422-7499
Provider Business Practice Location Address
First Line : 101 S 10TH ST
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-5303
Country : US
Telephone Number : 863-422-1351
Fax Number : 863-422-7499
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. JEFFREY S SMITH
Credential : D.C.
Telephone Number : 863-422-1351
Provider Enumeration Date : 01/04/2012
Last Update Date : 01/06/2012

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