Healthcare Provider Details

I. General information

NPI: 1376228866
Provider Name (Legal Business Name): JANET SMITH-HECTOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 06/21/2023
Certification Date: 06/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 N DIXIE HWY
POMPANO BEACH FL
33060-5621
US

IV. Provider business mailing address

7201 PLANTATION BLVD
MIRAMAR FL
33023-2648
US

V. Phone/Fax

Practice location:
  • Phone: 954-632-0545
  • Fax: 954-928-0040
Mailing address:
  • Phone: 954-632-0545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11026616
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: