Individual
MS. HEATHER ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
3010 E 138TH AVE, SUITE 100, TAMPA, FL 33613-3904
(813) 971-2100
(813) 971-2201
Mailing address
3010 E 138TH AVE, SUITE 100, TAMPA, FL 33613-3904
(813) 971-2100
(813) 971-2201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT21710
FL
Other
Enumeration date
05/24/2006
Last updated
12/06/2007
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