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Contact Information

RANDALL D SMITH, RPT
4551 NORTH DAVIS HWY
SUITE C
PENSACOLA, FL32503
 Phone: 850-473-2772
 Fax: 850-474-4123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for RANDALL D SMITH · (Male)

NPI # 1164408084
Status Active
Credentials RPT
Entity Individual
Enumeration date 12/22/2005
Last updated 11/07/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PT3301
  • AL Other 59197541 BCBS ALABAMA
  • FL Other Y7437 BCBS FLORIDA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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