NPI 1053619551

Gerald L Smith, CASEMANAGER

Practitioner Social Worker Bartow, FL

Practice location

Address: 1255 Brice Blvd, Bartow, FL 33830-6735
Phone: (863) 519-8233
Fax: (863) 519-8304
Mailing address: 1290 Golfview Ave Fl 4 Attn: Billing Department, Bartow, FL 33830-6740

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in Florida →

Registry record

NPI: 1053619551
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Mar 2011
Record last updated: 8 Mar 2011

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.