Individual
ANNA LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
16461 DOMESTIC AVE, FORT MYERS, FL 33912-6008
(877) 266-7768
(603) 952-3900
Mailing address
919 SPRINGWOOD DR, ORLANDO, FL 32839-1317
(407) 230-8560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9368811
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841765047
—
FL
Enumeration date
10/04/2018
Last updated
12/15/2022
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