Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 5TH ST S STE 605, SAINT PETERSBURG, FL 33701-4804
(727) 822-4300
Mailing address
2901 58TH AVE N, SAINT PETERSBURG, FL 33714-1326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11028656
FL
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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