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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1821336694 NPPES
Florida MEDICAID 101905400

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