Individual
MAUDLEN N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 N 12TH AVE BLDG B, ARCADIA, FL 34266-8752
(634) 941-2428
(863) 491-0466
Mailing address
3200 SW 34TH AVE STE 701, OCALA, FL 34474-8443
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11029502
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11029502
FL
Other
Enumeration date
11/01/2023
Last updated
04/22/2024
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