Smith, Ed R

Smith, Ed R is an individual health care provider with primary practice located at 11120 S Crown Way Suite B, Wellington FL 33414. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Smith, Ed R can be contacted via phone (561) 656-1028.

Contact Information

Primary practice address
11120 S Crown Way Suite B Wellington FL 33414
Phone: (561) 656-1028
Fax: (561) 656-1031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT4846 Florida

Profile Details

NPI number 1275632689
LBN Legal business name Smith, Ed R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275632689 NPPES
Florida Other 819453 ACN GROUP

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