Individual
MRS. JOHNELL M SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33708
(727) 398-6661
Mailing address
10752 CHAPMAN CT, LARGO, FL 33777-1236
(727) 398-6661
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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