Smith, Adrienne L

Smith, Adrienne L is an individual health care provider with primary practice located at 699 W Cocoa Beach Cswy Ste 401 , Cocoa Beach FL 32931. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Smith, Adrienne L can be contacted via phone (321) 784-5437.

Contact Information

Primary practice address
699 W Cocoa Beach Cswy Ste 401 Cocoa Beach FL 32931
Phone: (321) 784-5437
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP 9220199 Florida

Profile Details

NPI number 1427354919
LBN Legal business name Smith, Adrienne L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2011
Last updated Oct 15th, 2019 - about 7 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 1427354919 NPPES
Florida Other ARNP9220199 LICENSE NO.
Florida MEDICAID 009579300 LICENSE NO.

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