Individual
TERESA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9484 117TH ST, SEMINOLE, FL 33772-2715
(727) 492-6783
Mailing address
9484 117TH ST, SEMINOLE, FL 33772-2715
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9273555
FL
Other
Enumeration date
08/12/2008
Last updated
05/02/2010
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