Individual
ALYSSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4840 NEW BROAD ST, ORLANDO, FL 32814-6628
(407) 930-0400
Mailing address
4840 NEW BROAD ST, ORLANDO, FL 32814-6628
(407) 930-0400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109030
FL
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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