Smith, Amanda Gail

Smith, Amanda Gail is an individual health care provider with primary practice located at 5216 Clayton Ct , Fort Myers FL 33907-2116. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Smith, Amanda Gail can be contacted via phone (239) 343-8260.

Contact Information

Primary practice address
5216 Clayton Ct Fort Myers FL 33907-2116
Phone: (239) 343-8260
Fax: (239) 343-4258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X APRN11039119 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11039119 Florida

Profile Details

NPI number 1265220610
LBN Legal business name Smith, Amanda Gail
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2025
Last updated Aug 13th, 2025 - about last year

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 1265220610 NPPES
Florida MEDICAID 127610600

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