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Individual

TAKIARA RENEE SMITH-WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
918 LEWIS DR, DAYTONA BEACH, FL 32117-4518
(386) 405-8544
Mailing address
19 REIDSVILLE DR, PALM COAST, FL 32164-6635
(386) 405-8544

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5239054
FL
172V00000X
Community Health Worker
PN5239054
FL
373H00000X
Day Training/Habilitation Specialist
PN5239054
FL
376J00000X
Homemaker
PN5239054
FL

Other

Enumeration date
01/03/2021
Last updated
08/13/2026
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