Healthcare Provider Details

I. General information

NPI: 1093822256
Provider Name (Legal Business Name): GAIL P SMITH-DOBRANSKY ARNP BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13670 WALSINGHAM ROAD
LARGO FL
33774
US

IV. Provider business mailing address

PO BOX 1728
CLEARWATER FL
33757-1728
US

V. Phone/Fax

Practice location:
  • Phone: 727-593-9848
  • Fax: 727-596-4532
Mailing address:
  • Phone: 727-532-0002
  • Fax: 727-532-1318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number21740520
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: