Provider Information for 1720488281
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Mr. BRIAN SMERDON MS LMHC
Sex: Male
NPI: 1720488281
Last Updated: 2024-08-09
Certification Date: 2024-08-09
Certification Date: 2024-08-09
Details
| Name | Value | ||||||||
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| NPI | 1720488281 | ||||||||
| Enumeration Date | 2014-09-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1317 EDGEWATER DR STE 4136 ORLANDO, FL 32804-6350 United States Phone: 386-562-7540 | Fax: | ||||||||
| Primary Practice Address | 1317 EDGEWATER DR STE 4136 ORLANDO, FL 32804-6350 United States Phone: 386-562-7540 | Fax: | ||||||||
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