Individual
SHANELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2801 N STATE ROAD 7, MARGATE, FL 33063-5727
(954) 974-0400
Mailing address
400 SW 1ST AVE APT 403, FORT LAUDERDALE, FL 33301-3477
(305) 797-9630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11044021
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11044021
FL
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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