Individual
COURTNEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3200 BAILEY LN STE 200, NAPLES, FL 34105-8523
(239) 262-1721
(239) 262-5903
Mailing address
3200 BAILEY LANE, SUITE 200, NAPLES, FL 34105-8523
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9110703
FL
Other
Enumeration date
09/08/2017
Last updated
04/11/2024
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