Smart, Angela Grace

Smart, Angela Grace is an individual health care provider with primary practice located at 8501 Little Rd , New Port Richey FL 34654-4924. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smart, Angela Grace can be contacted via phone (727) 869-7755.

Contact Information

Primary practice address
8501 Little Rd New Port Richey FL 34654-4924
Fax: (727) 869-7372
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9197937 Florida

Profile Details

NPI number 1083881254
LBN Legal business name Smart, Angela Grace
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2008
Last updated Sep 2nd, 2021 - about 3 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 1083881254 NPPES
Florida MEDICAID 004624800

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