Doctor Name: | MR. STEPHEN P SMITH |
NPI Number: | 1346242765 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | 0943422 |
Business Practice Address: | 601 East Rollins Orlando, FL - 328031248 |
Business Phone Number: | 4074649516 |
Business Fax Number: | 4074649519 |
Mailing Address: | 515 Wekiva Commons Circle, APOPKA |
State: | FL |
Postal Code: | 327123645 |
Phone Number: | 4074649516 |
Fax Number: | 4074649519 |
NPI Enumeration Date: | 08/15/2005 |
NPI Last Update Date: | 05/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 0943422 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |