Individual
ELIZABETH ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4586 E MICHIGAN ST, ORLANDO, FL 32812-5233
(407) 751-2297
Mailing address
8854 LAKE IRMA PT, ORLANDO, FL 32817-1661
(407) 430-9995
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11027366
FL
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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