Smith-Poole, Marquita

Smith-Poole, Marquita is an sole proprietor health care provider with primary practice located at 1416 Nelson Ave , Clearwater FL 33755. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Ambulatory Health Care Facilities / Developmental Disabilities. Ambulatory Health Care Facilities / Developmental Disabilities is her primary health care specialty. Smith-Poole, Marquita can be contacted via phone (850) 209-9006.

Contact Information

Primary practice address
1416 Nelson Ave Clearwater FL 33755
Phone: (850) 209-9006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9267398 Florida
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1235668989
LBN Legal business name Smith-Poole, Marquita
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2017
Last updated Jun 26th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235668989 NPPES
Florida MEDICAID 020979700

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