Smith, Nikeda
Smith, Nikeda is an individual health care provider with primary practice located at 720 W Oak St Ste 303 , Kissimmee FL 34741-4992. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Smith, Nikeda can be contacted via phone (407) 520-3947.Contact Information
Primary practice address
720 W Oak St Ste 303
Kissimmee FL 34741-4992
Phone: (407) 520-3947
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 9108550 |
Profile Details
| NPI number | 1336530112 |
|---|---|
| LBN Legal business name | Smith, Nikeda |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2015 |
| Last updated | Feb 23rd, 2023 - about 2 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 | 1336530112 | NPPES |
| Florida | MEDICAID | 1336530112 |
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