Individual
MRS. STEPHANY PEEBLES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
200 AVENUE F NE STE 9118, WINTER HAVEN, FL 33881-4131
(863) 297-1777
(863) 297-1756
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3095132
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN3095132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104789900
—
FL
Enumeration date
08/30/2016
Last updated
03/23/2021
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