Healthcare Provider Details

I. General information

NPI: 1457316028
Provider Name (Legal Business Name): ROBERT SCOTT SMITH ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 11/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 ARLINGTON ST SUITE 400
SARASOTA FL
34239-3507
US

IV. Provider business mailing address

1950 ARLINGTON ST SUITE 400
SARASOTA FL
34239-3507
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-4250
  • Fax: 941-917-4257
Mailing address:
  • Phone: 941-917-4250
  • Fax: 941-917-4257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP2730412
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: