Individual
AMANDA G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4001 E FLETCHER AVE, TAMPA, FL 33613-4808
(813) 866-1600
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME77616
FL
2084P0805X
Geriatric Psychiatry Physician
Primary
ME77616
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006779500
—
FL
01
—
47974
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/18/2006
Last updated
03/31/2025
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