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1376032474
MATTHEW THOMAS SMITH
JACKSONVILLE, FL
NPI
1376032474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT33420)
Enumeration Date
2018-05-03
Last Update Date
2019-01-03
Business Address
MATTHEW THOMAS SMITH DPT
12421 SAN JOSE BLVD STE 100
JACKSONVILLE, FL 32223-8662
Phone number: 904-292-0195
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Mailing Address
MATTHEW THOMAS SMITH DPT
125 DRAKE RD
SAINT AUGUSTINE, FL 32086-6201
Phone number: 321-749-8154
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