Individual
DANIELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
104 MAIN ST N, SAINT PETERSBURG, FL 33716-1342
(727) 362-4101
Mailing address
1515 14TH ST N, SAINT PETERSBURG, FL 33704-4005
(727) 420-5579
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107730
—
Other
Enumeration date
03/20/2014
Last updated
08/14/2024
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