Individual
NANCY KEENEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3819 NW 68TH PL, GAINESVILLE, FL 32653-8340
(352) 316-0401
(352) 372-0016
Mailing address
3819 NW 68TH PL, GAINESVILLE, FL 32653-8340
(352) 316-0401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 38123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2145
BCBS OF FLORIDA PROVIDER#
FL
Enumeration date
02/15/2006
Last updated
07/09/2007
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