Individual
AMANDA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
6840 SW 40TH ST STE 211A, MIAMI, FL 33155-3756
(305) 461-4702
Mailing address
4210 STATE HWY N. 123, #1034, SAN MARCOS, TX 78666
(916) 761-0032
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ11009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SZ11009
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
08/18/2022
Last updated
08/09/2023
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