Healthcare Provider Details

I. General information

NPI: 1366607160
Provider Name (Legal Business Name): LINDSAY L SMITH CNM, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2008
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 NW 14TH ST ROOM 1151
MIAMI FL
33136-2107
US

IV. Provider business mailing address

1525 W 27TH ST
MIAMI BEACH FL
33140-4210
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-5632
  • Fax: 305-243-3518
Mailing address:
  • Phone: 305-788-4102
  • Fax: 305-604-5650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP9175217
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: