Healthcare Provider Details

I. General information

NPI: 1134446313
Provider Name (Legal Business Name): FRANCES K SMITH RD, CSR, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2010
Last Update Date: 01/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 N ORANGE AVE SUITE # 700
ORLANDO FL
32804-4603
US

IV. Provider business mailing address

2415 N ORANGE AVE SUITE 700
ORLANDO FL
32804-5505
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-5814
  • Fax: 407-303-0677
Mailing address:
  • Phone: 407-303-5814
  • Fax: 407-303-0677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: