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Jerry Smith

NPI 1295391993 · on the registry since 2019 · sole proprietor

Practice

Address
201 S Kings Ave
Brandon, FL 33511
Phone
(813) 681-4046
Organisation at this address
Carson Optical Company
Bradley S Bessant Od Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida