Individual
MRS. SAGE BARRETT KONANS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6642 E BAY BLVD, GULF BREEZE, FL 32563-9736
(762) 822-4647
Mailing address
6642 E BAY BLVD, GULF BREEZE, FL 32563-9736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9675622
FL
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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