Provider Demographics
NPI:1154954386
Name:SMITH, WILLIAM FRANKLIN JR (NBC-HIS)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:FRANKLIN
Last Name:SMITH
Suffix:JR
Gender:M
Credentials:NBC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4025 20TH ST
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-2403
Mailing Address - Country:US
Mailing Address - Phone:772-569-0444
Mailing Address - Fax:772-567-7266
Practice Address - Street 1:4025 20TH ST
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-2403
Practice Address - Country:US
Practice Address - Phone:772-569-0444
Practice Address - Fax:772-569-7266
Is Sole Proprietor?:No
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS3186237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist