NPI 1104254556

James Lyle Smuda, ATC

Practitioner Athletic Trainer Gulf Breeze, FL

Practice location

Address: 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4838
Phone: (850) 916-8650
Mailing address: 12911 Santa Lucia Cir APT 202, Tampa, FL 33635-9714

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126001781 (VA)

Other Specialist/Technologist providers in Florida →

Registry record

NPI: 1104254556
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2013
Record last updated: 3 Apr 2014

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.