Individual
MRS. DONNA DORMAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4800 BELFORT ROAD, JACKSONVILLE, FL 32256
(904) 265-4801
(904) 265-4811
Mailing address
4800 BELFORT ROAD, JACKSONVILLE, FL 32256
(904) 483-5850
(904) 483-5860
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9244967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307782900
—
FL
Enumeration date
09/21/2005
Last updated
05/23/2014
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