Smart-Mackey, Paulette Andrea

Smart-Mackey, Paulette Andrea is an sole proprietor health care provider with primary practice located at 25 W Crystal Lake St Suite 200, Orlando FL 32806-4475. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Smart-Mackey, Paulette Andrea can be contacted via phone (407) 858-1371.

Contact Information

Primary practice address
25 W Crystal Lake St Suite 200 Orlando FL 32806-4475
Phone: (407) 858-1371
Fax: (407) 855-0762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME0072680 Florida

Profile Details

NPI number 1730366626
LBN Legal business name Smart-Mackey, Paulette Andrea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2008
Last updated Apr 11th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730366626 NPPES
Florida MEDICAID 252661100

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