Individual
CHRISTINA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
Mailing address
5310 NW SOUTH LANETT CIR, PORT ST LUCIE, FL 34986-2737
(954) 445-4952
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
APRN11004537
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11004537
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11004537
MEDICAL LICENSE
FL
Enumeration date
10/24/2019
Last updated
10/28/2019
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