Individual
KATHERINE JOAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
60 W GORE ST, ORLANDO, FL 32806-1141
(407) 423-1039
(407) 425-2347
Mailing address
60 W GORE ST, ORLANDO, FL 32806-1141
(407) 423-1039
(407) 425-2347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2701012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306617700
—
FL
Enumeration date
11/07/2005
Last updated
06/30/2014
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