Individual
BRANDI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
13365 OVERSEAS HWY STE 102, MARATHON, FL 33050-3513
(305) 294-0011
Mailing address
13365 OVERSEAS HWY APT 201, MARATHON, FL 33050-3513
(305) 294-0011
(305) 743-9612
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11013090
FL
363LF0000X
Family Nurse Practitioner
4704216827
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11013090
FLORIDA APRN LICENSE
FL
05
—
4704216827
—
MI
Enumeration date
01/12/2016
Last updated
04/21/2022
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