Provider Demographics
NPI:1972703205
Name:SMITH, JOSEPH OSCAR (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:OSCAR
Last Name:SMITH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3643 S FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-8656
Mailing Address - Country:US
Mailing Address - Phone:561-752-9099
Mailing Address - Fax:561-752-0992
Practice Address - Street 1:3643 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-8656
Practice Address - Country:US
Practice Address - Phone:561-752-9099
Practice Address - Fax:561-752-0992
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3234111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation