Healthcare Provider Details

I. General information

NPI: 1700827730
Provider Name (Legal Business Name): DARI LYNN SMITH FNP-ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 11/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4354 NW 23RD AVENUE
GAINESVILLE FL
32606
US

IV. Provider business mailing address

700 SW 16TH PLACE
GAINESVILLE FL
32601
US

V. Phone/Fax

Practice location:
  • Phone: 352-376-4565
  • Fax: 352-548-1139
Mailing address:
  • Phone: 352-548-1101
  • Fax: 352-548-1139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP1619382
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP1619382
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: