Individual
ANITRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19810 NW 12TH AVE, MIAMI GARDENS, FL 33169-3011
(305) 494-3671
Mailing address
19810 NW 12TH AVE, MIAMI GARDENS, FL 33169-3011
(305) 494-3671
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11010602
FL
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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