NPI 1023362373

Clement Gustavous Smith, CAREGIVER

Practitioner Adult Companion Port Charlotte, FL

Practice location

Address: 3081 Jody Street, Port Charlotte, FL 33948
Phone: (941) 764-7461
Fax: (941) 764-7461

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

Other Adult Companion providers in Florida →

Registry record

NPI: 1023362373
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2012
Record last updated: 7 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.