Individual
NORAH MARIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 POPE AVE NW # 100, WINTER HAVEN, FL 33881-4679
(863) 293-2144
(863) 293-3732
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(863) 293-2144
(863) 293-3732
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME81199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01309647
AMERIGROUP
FL
05
—
260285700
—
FL
01
—
51662
BLUE CROSS BLUE SHIELD
FL
01
—
524974
WELLCARE
FL
Enumeration date
02/14/2006
Last updated
10/27/2021
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