Healthcare Provider Details

I. General information

NPI: 1598628356
Provider Name (Legal Business Name): PAULA KAYE SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13964 ARBOR CIR
OMAHA NE
68144-2358
US

IV. Provider business mailing address

13964 ARBOR CIR
OMAHA NE
68144-2358
US

V. Phone/Fax

Practice location:
  • Phone: 727-599-1607
  • Fax:
Mailing address:
  • Phone: 727-599-1607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9478772
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: