Individual
MS. IMANI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
434 W OAK RD, ORLANDO, FL 32809-4005
(203) 215-9046
Mailing address
434 W OAK RD, ORLANDO, FL 32809-4005
(203) 215-9046
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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