Individual
MARY ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
525 TECHNOLOGY PARK STE 109, LAKE MARY, FL 32746-7107
(727) 710-1831
Mailing address
7901 4TH ST N STE 25922, ST PETERSBURG, FL 33702-4305
(727) 831-3049
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9365548
FL
Other
Enumeration date
05/31/2022
Last updated
03/16/2025
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