Healthcare Provider Details
I. General information
NPI: 1891620720
Provider Name (Legal Business Name): SMYTHE'S HEALTH, WELLNESS AND PSYCHIATRIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7481 W OAKLAND PARK BLVD STE 301
TAMARAC FL
33319-4961
US
IV. Provider business mailing address
7481 W OAKLAND PARK BLVD STE 301
TAMARAC FL
33319-4961
US
V. Phone/Fax
- Phone: 754-779-5385
- Fax:
- Phone: 754-779-5385
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TASHANA
SMYTHE
Title or Position: DIRECTOR
Credential: PMHNP-BC
Phone: 754-779-5385