Individual
STELLA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
578 BIMINI BAY BLVD, APOLLO BEACH, FL 33572-2546
(813) 598-3818
Mailing address
578 BIMINI BAY BLVD, APOLLO BEACH, FL 33572-2546
(813) 598-3818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1698242
FL
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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