Individual
BURK H. SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
Mailing address
PO BOX 886, DOVER, FL 33527-0886
(813) 844-4396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1688242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G1972
BCBS
FL
Enumeration date
05/20/2006
Last updated
07/21/2022
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