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General NPI Number Information
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NPI Number | 1588958326
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Entity Type | Individual
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Provider Name | CAROLINE ELIZABETH SMITH D.P.M
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Gender | Female
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 450 W CENTRAL PKWY
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2436
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Country | US
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Telephone | 321-397-2699
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Fax | 407-926-0500
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Provider Business Mailing Address
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Address Line | 1850 CENTER DR
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City | CASSELBERRY
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State | FL
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Zip | 32707-4134
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Country | US
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Telephone | 407-687-3577
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PR173
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License Number State | FL
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