=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487138541
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ZAPORIA SMITH NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/24/2018
-----------------------------------------------------
Last Update Date | 09/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1249 STRONG RD
-----------------------------------------------------
City | QUINCY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32351-5248
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-875-9500
-----------------------------------------------------
Fax | 850-627-2786
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2804 REMINGTON GREEN CIR STE 2
-----------------------------------------------------
City | TALLAHASSEE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32308-1550
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-385-4494
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | RN213699
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APRN11004535
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------