Healthcare Provider Details

I. General information

NPI: 1699244368
Provider Name (Legal Business Name): SMART NURSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2018
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 SARONA CIR
ROYAL PALM BEACH FL
33411-4320
US

IV. Provider business mailing address

106 SARONA CIR
ROYAL PALM BEACH FL
33411-4320
US

V. Phone/Fax

Practice location:
  • Phone: 866-708-3393
  • Fax: 954-827-2664
Mailing address:
  • Phone: 631-867-6757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LATOYA GAUNTLETT-FREEMAN
Title or Position: OWNER
Credential: APRN
Phone: 631-867-6757