Individual
CHELSEA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 281-9065
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107454
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014240400
—
FL
Enumeration date
10/22/2013
Last updated
06/05/2025
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