Individual
CHAD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-7000
Mailing address
639 JAMESON RD, EASLEY, SC 29640-6840
(864) 517-9025
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
APRN11019985
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11019985
FL
Other
Enumeration date
06/01/2022
Last updated
07/22/2022
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