Individual
CAROLINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9500 BONITA BEACH RD SE STE 101, BONITA SPRINGS, FL 34135-4679
(239) 498-9294
(239) 498-7179
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
569704
CA
363LF0000X
Family Nurse Practitioner
Primary
APRN9495682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101905400
—
FL
Enumeration date
01/29/2013
Last updated
04/03/2020
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