Healthcare Provider Details

I. General information

NPI: 1376478727
Provider Name (Legal Business Name): CARE GAP HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 LANDINGS LOOP
TALLAHASSEE FL
32311-1290
US

IV. Provider business mailing address

113 SOUTH MONROE STREET 1ST FLOOR - #100
TALLAHASSEE FL
32301-1529
US

V. Phone/Fax

Practice location:
  • Phone: 850-498-4176
  • Fax:
Mailing address:
  • Phone: 850-498-4176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE SMYLY
Title or Position: OWNER
Credential: NP
Phone: 850-498-4176