Individual
LISA SMOTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 510-4768
Mailing address
898 HIGHLANDS BLVD, PALM HARBOR, FL 34684-2827
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN9308998
FL
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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