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1144412362
MATTHEW RYAN SMITH
BRANDON, FL
NPI
1144412362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9107760)
Enumeration Date
2007-08-12
Last Update Date
2014-02-04
Business Address
Mr. MATTHEW RYAN SMITH ATC, LAT
615 VONDERBURG DR
BRANDON, FL 33511-5972
Phone number: 813-684-2663
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Mailing Address
Mr. MATTHEW RYAN SMITH ATC, LAT
615 VONDERBURG DR
BRANDON, FL 33511-0001
Phone number: 813-684-2663
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