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NPI Profile for RENITA G SMITH in LAKE MARY, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
EEG |
2472E0500X | 75 | Slide Preparation Facility |
| NPI Number | 1104060631 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/28/2009 | |
| Last updated | 04/28/2009 - About 17 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RENITA G SMITH