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Kyle Smith, CPED
Orthotic Fitter in Pensacola, Florida
NPI 1386906360

Kyle Smith is a Orthotic Fitter based in Pensacola, FL. Kyle Smith practices in Pensacola, FL and has the professional credentials of CPED. The NPI Number for Kyle Smith is 1386906360 and holds a License No. PED207 (Florida).

The current practice location address for Kyle Smith is 2401 Executive Plaza Rd, Pensacola, FL and can be reached out via phone at 850-474-5003 and via fax at 850-686-8394.

Location: 2401 Executive Plaza Rd, Pensacola, FL, 32504-8277
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386906360
Provider Name
Kyle Smith
Credential
CPED
Provider Entity Type
Individual
Gender
Male
Address
2401 Executive Plaza Rd, Pensacola, FL, 32504-8277
Phone Number
850-474-5003
Fax Number
850-686-8394
Provider Enumeration Date
06/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2401 Executive Plaza Rd
City
Pensacola
State
Florida
Zip
32504-8277
Phone Number
850-474-5003
Fax Number
850-686-8394
person
Provider Business Mailing Address Details
Address
2401 Executive Plaza Rd
City
Pensacola
State
Florida
Zip
32504-8277
Phone Number
850-474-5003
Fax Number
850-686-8394
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
C.F.O.00226 (Florida)
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
PED207 (Florida)
Definition
An individual trained in the management of fitting prefabricated orthoses.
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