Individual
ANGELA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2400 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5314
(850) 877-2105
(850) 216-1321
Mailing address
2400 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5314
(850) 877-2105
(850) 216-1321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9282462
FL
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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