Individual
MR. GLENN EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1431 SW 1ST AVENUE, OCALA, FL 34471
(352) 401-1000
Mailing address
1613 N. HARRISON PARKWAY, SUITE 200, MAILSTOP SH-9A, SUNRISE, FL 33323-2896
(954) 838-2371
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
ARNP2025102
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2025102
FL
Other
Enumeration date
02/13/2007
Last updated
09/12/2014
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