| Doctor Name: | EBEN SMITH |
| NPI Number: | 1205283942 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | ARNP9328268 |
| Business Practice Address: | 1419 Meres Blvd Tarpon Springs, FL - 346892880 |
| Business Phone Number: | 7276128979 |
| Business Fax Number: | |
| Mailing Address: | 1419 Meres Blvd, TARPON SPRINGS |
| State: | FL |
| Postal Code: | 346892880 |
| Phone Number: | 7276128979 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2016 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | ARNP9328268 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |