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General NPI Number Information
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NPI Number | 1821357823
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Entity Type | Individual
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Provider Name | KARI ANN SMITH M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/10/2012
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 16 SAINT JOHNS MEDICAL PARK DR
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-5299
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Country | US
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Telephone | 904-794-5411
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Fax | 904-794-6815
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Provider Business Mailing Address
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Address Line | 2675 WINKLER AVE FL 2
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City | FORT MYERS
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State | FL
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Zip | 33901-9342
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Country | US
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Telephone | 877-856-3774
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Fax | 239-599-2612
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME120855
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License Number State | FL
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