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Individual

ANN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4221 W BOY SCOUT BLVD STE 300, TAMPA, FL 33607-5765
(813) 608-5633
Mailing address
4221 W BOY SCOUT BLVD STE 300, TAMPA, FL 33607-5765
(813) 608-5633

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001255165
VA
163W00000X
Registered Nurse
9280660
FL
363L00000X
Nurse Practitioner
Primary
APRN11020012
FL
363LF0000X
Family Nurse Practitioner
0024174279
VA

Other

Enumeration date
12/14/2016
Last updated
08/01/2023
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