Individual
TAMEKIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 101, DAYTONA BEACH, FL 32117-5169
(386) 231-3615
Mailing address
7620 LAKE UNDERHILL RD, ORLANDO, FL 32822-8223
(321) 235-0692
(321) 235-0694
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
9381786
FL
363L00000X
Nurse Practitioner
9381786
FL
363LA2200X
Adult Health Nurse Practitioner
APRN9381786
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN9381786
FL
Other
Enumeration date
08/28/2018
Last updated
03/03/2021
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