IndividualActive
Carl Smith, CRRA
NPI 1982376521 · Substance Use Disorder Rehabilitation Clinic/Center · Daytona Beach, FL
Provider details
- NPI number
- 1982376521
- Entity type
- Individual
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Credential
- CRRA
- Sex
- Male
- Sole proprietor
- Yes
- License
- IND-877173 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
527 N Ridgewood Ave
Daytona Beach, FL 32114-2107
Phone: (386) 319-6160
Approximate (ZIP-level) locationGet directions
Mailing address
527 N Ridgewood Ave
Daytona Beach, FL 32114-2107
Registry dates
- Enumerated
- 2021-10-01
- Last updated
- 2021-10-01
- Certified
- 2021-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.