Individual
TIA D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
651 W WARREN AVE, LONGWOOD, FL 32750-4036
(407) 214-9019
Mailing address
5419 STIRRUP WAY, ORLANDO, FL 32810-3347
(321) 368-5555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9538739
FL
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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