Individual
BETH ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7322
(407) 667-0444
(407) 667-4338
Mailing address
4048 EVANS AVE, SUITE 303, FT MYERS, FL 33901-9322
(239) 332-5344
(239) 332-7246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2637472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G2351
BCBS
FL
Enumeration date
10/31/2005
Last updated
07/08/2007
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