Individual
ANITA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7040 LAKE ELLENOR DR, ORLANDO, FL 32809-5750
(407) 858-4737
Mailing address
7040 LAKE ELLENOR DR, ORLANDO, FL 32809-5750
(407) 858-4737
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9269749
FL
Other
Enumeration date
11/23/2011
Last updated
11/30/2011
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