MEDICARE: PATRINA SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker		FL

General Provider Information

NPI Number	:	1053259671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRINA SMITH

Provider Business Mailing Address
First Line	:	15756 TISONS BLUFF RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-0122
Country	:	US
Telephone Number	:	904-535-7955
Fax Number	:	904-590-6363

Provider Business Practice Location Address
First Line	:	15756 TISONS BLUFF RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-0122
Country	:	US
Telephone Number	:	904-535-7955
Fax Number	:	904-590-6363

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

Similar Medicare Providers

1184572067 — AJC LEGACY HOME COMPANION SERVICES LLC
Practice Location Address:

15756 TISONS BLUFF RD
JACKSONVILLE, FL
32218-0122

Practice Phone: 904-535-7955
Practice Fax: 904-590-6363

1992893291 — PAMELA ROEMER CAREY P.T.
Practice Location Address:

1859 TRUMANSBURG RD.
JACKSONVILLE, NY
14854-0122

Practice Phone: 607-387-5729
Practice Fax: 607-387-5315

1508947144 — JANICE D CONGDON P.T.
Practice Location Address:

1859 TRUMANSBURG RD.
JACKSONVILLE, NY
14854-0122

Practice Phone: 607-387-5729
Practice Fax: 607-387-5315

1942148747 — CRYSTAL MACK MASSAGE THERAPIST
Practice Location Address:

3450 DUNN AVE STE 101
JACKSONVILLE, FL
32218-6427

Practice Phone: 904-418-4611
Practice Fax:

1336087865 — TAWANA NEAL PTA
Practice Location Address:

2298 NETTLEBROOK ST S
JACKSONVILLE, FL
32218-1008

Practice Phone: 904-803-8356
Practice Fax:

1245588516 — MRS. SARAH LANE YOUNG-VEIGA LCSW
Practice Location Address:

145 HERON BAY RD
JACKSONVILLE, FL
32218-3595

Practice Phone: 904-470-6900
Practice Fax:

Directions to “ PATRINA SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.