| Doctor Name: | MICHELLE SMITH |
| NPI Number: | 1003212143 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REV, CHT, CBE, SBD |
| License Number: | |
| Business Practice Address: | 3451 Lila Dr Orlando, FL - 328066543 |
| Business Phone Number: | 4077917989 |
| Business Fax Number: | |
| Mailing Address: | 3451 Lila Dr, ORLANDO |
| State: | FL |
| Postal Code: | 328066543 |
| Phone Number: | 4077917989 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2014 |
| NPI Last Update Date: | 11/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 374K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Religious Nonmedical Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence. |