Doctor Name: | NIA MARINA SMYRNIOTIS |
NPI Number: | 1154625184 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME69174 |
Business Practice Address: | 5295 Town Center Rd Suite # 201 Boca Raton, FL - 334861080 |
Business Phone Number: | 5612883520 |
Business Fax Number: | |
Mailing Address: | 5295 Town Center Rd, Suite # 201 BOCA RATON |
State: | FL |
Postal Code: | 334861080 |
Phone Number: | 5612883520 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2011 |
NPI Last Update Date: | 06/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME69174 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |