Smith, Caroline
Smith, Caroline is an individual health care provider with primary practice located at 9500 Bonita Beach Rd Se Ste 101 , Bonita Springs FL 34135-4679. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Caroline can be contacted via phone (239) 498-9294.Contact Information
Primary practice address
9500 Bonita Beach Rd Se Ste 101
Bonita Springs FL 34135-4679
Phone: (239) 498-9294
Fax: (239) 498-7179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 569704 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN9495682 | Florida |
Profile Details
| NPI number | 1821336694 |
|---|---|
| LBN Legal business name | Smith, Caroline |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2013 |
| Last updated | Apr 3rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821336694 | NPPES |
| Florida | MEDICAID | 101905400 |
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