Individual
MRS. BETHANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
601 OAK COMMONS BLVD, KISSIMMEE, FL 34741-4213
(407) 846-0626
(407) 846-2371
Mailing address
601 OAK COMMONS BLVD, KISSIMMEE, FL 34741-4213
(407) 846-0626
(407) 846-2371
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1447622
FL
Other
Enumeration date
03/14/2008
Last updated
07/11/2016
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