Smith, Juliet A

Smith, Juliet A is an sole proprietor health care provider with primary practice located at 8175 Nw 12Th St Suite 306, Attn: Billing Office, Doral FL 33126-1828. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Smith, Juliet A can be contacted via phone (786) 845-0173.

Contact Information

Primary practice address
8175 Nw 12Th St Suite 306, Attn: Billing Office Doral FL 33126-1828
Phone: (786) 845-0173
Fax: (305) 470-5846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X ARNP904522 Florida
Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health 364SC1501X ARNP904522 Florida

Profile Details

NPI number 1053463588
LBN Legal business name Smith, Juliet A
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Oct 26th, 2011 - about 14 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 1053463588 NPPES
Florida MEDICAID 302099100

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