Individual
DIANA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3160 SOUTHGATE COMMERCE BLVD, SUITE 64, ORLANDO, FL 32806-8549
(407) 857-8860
(407) 857-7099
Mailing address
3160 SOUTHGATE COMMERCE BLVD, SUITE 64, ORLANDO, FL 32806-8551
(407) 857-8860
(407) 857-7099
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP1430632
FL
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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