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Mr. Wade Raymond Smith, ATC/L
Specialist in Lake City, Florida
NPI 1326011883

Wade Raymond Smith is a Specialist based in Lake City, FL. Wade Raymond Smith practices in Lake City, FL and has the professional credentials of ATC/L. The NPI Number for Wade Raymond Smith is 1326011883 and holds a License No. AL 1072 (Florida).

The current practice location address for Wade Raymond Smith is 4367 Nw American Ln, Lake City, FL and can be reached out via phone at 386-758-1841. You can also correspond with Wade Raymond Smith through the mailing address at 560 NW GWEN LAKE AVE, LAKE CITY, FL - 32055-3216 (mailing address contact number: 386-719-6879).

Location: 4367 Nw American Ln, Lake City, FL, 32055-3216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326011883
Provider Name
Wade Raymond Smith
Credential
ATC/L
Provider Entity Type
Individual
Gender
Male
Address
4367 Nw American Ln, Lake City, FL, 32055-3216
Phone Number
386-758-1841
Fax Number
Provider Enumeration Date
02/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4367 Nw American Ln
City
Lake City
State
Florida
Zip
32055-4828
Phone Number
386-758-1841
Fax Number
person
Provider Business Mailing Address Details
Address
4367 Nw American Ln
City
Lake City
State
Florida
Zip
32055-4828
Phone Number
386-758-1841
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AL 1072 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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