Individual
MRS. AMANDA GAIL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5216 CLAYTON CT, FORT MYERS, FL 33907-2116
(239) 343-8260
(239) 343-4258
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-8260
(239) 343-4258
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
APRN11039119
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11039119
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127610600
—
FL
Enumeration date
04/28/2025
Last updated
08/13/2025
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