BRIAN SMITH

WINTER GARDEN, FL
NPI1194135079
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: FL  PTA23307)
Enumeration Date2014-05-01
Last Update Date2014-05-01
Business Address
Mr. BRIAN SMITH PTA
15204 W COLONIAL DR
WINTER GARDEN, FL 34787-6042
Phone number: 407-877-2394
Mailing Address
Mr. BRIAN SMITH PTA
5247 COUNTY ROAD 561
CLERMONT, FL 34714-8808
Phone number: