Smith, Sondra

Smith, Sondra is an individual health care provider with primary practice located at 810 W Mowry Dr , Homestead FL 33030-5746. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith, Sondra can be contacted via phone (305) 248-4334.

Contact Information

Primary practice address
810 W Mowry Dr Homestead FL 33030-5746
Fax: (305) 245-1161
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9203820 Florida

Profile Details

NPI number 1164759957
LBN Legal business name Smith, Sondra
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2009
Last updated Sep 14th, 2011 - about 13 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 1164759957 NPPES
Florida MEDICAID 001642600

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