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1386650984
PRUDENCE SMITH
TAMPA, FL
NPI
1386650984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: FL ME68531)
Enumeration Date
2006-08-01
Last Update Date
2008-06-18
Business Address
PRUDENCE SMITH MD
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-4673
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Mailing Address
PRUDENCE SMITH MD
PO BOX 917770
ORLANDO, FL 32891-7770
Phone number:
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