Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CARL EDWARD SMITH JR., CRRA
Active Sole ProprietorMR. CARL EDWARD SMITH JR., CRRA is a Substance Use Disorder Rehabilitation Facility healthcare provider located in DAYTONA BEACH, Florida. NPI 1982376521 is currently active in the NPPES registry. Verify at CMS.
Substance Use Disorder Rehabilitation Facility · DAYTONA BEACH, FL
Registration Details
- NPI Number
- 1982376521
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2021 (4.9029572675452 yrs)
- Last Updated
- Oct 1, 2021
- License
-
IND-877173 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
527 N RIDGEWOOD AVEDAYTONA BEACH, FL, 321142107Browse FL providers · Browse ZIP 32114
- Phone
- 3863196160
- Primary Specialty
-
Substance Use Disorder Rehabilitation Facility
261QR0405X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.