Healthcare Provider Details

I. General information

NPI: 1669308235
Provider Name (Legal Business Name): WILLIAM DANIEL SMITH IV APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 LITTLE RD
NEW PORT RICHEY FL
34655-1105
US

IV. Provider business mailing address

5350 SPRING HILL DR
SPRING HILL FL
34606-4562
US

V. Phone/Fax

Practice location:
  • Phone: 727-372-1005
  • Fax: 727-372-1009
Mailing address:
  • Phone: 352-277-5348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11048631
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: