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Individual

MISS ERIN NICOLE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1511 SURGEONS DR, SUITE A, TALLAHASSEE, FL 32308-4632
(850) 878-6134
Mailing address
1598 KAY AVE, APT. A, TALLAHASSEE, FL 32301-6897
(352) 256-2752

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103851
FL

Other

Enumeration date
04/07/2007
Last updated
07/08/2007
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