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NPI Code Detail

MEDICARE: KRISTIN SMITH MS

MEDICARE: KRISTIN SMITH MS
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
1101Y00000XCounselorMH26136FL

General Provider Information

NPI Number : 1194415216
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN SMITH MS
Provider Business Mailing Address
First Line : 508 S HABANA AVE STE 340
Second Line :
City : TAMPA
State : FL
Zip : 33609-4191
Country : US
Telephone Number : 813-873-7367
Fax Number : 813-875-9722
Provider Business Practice Location Address
First Line : 508 S HABANA AVE STE 340
Second Line :
City : TAMPA
State : FL
Zip : 33609-4191
Country : US
Telephone Number : 813-873-7367
Fax Number : 813-875-9722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2023
Last Update Date : 07/20/2025

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Directions to “ KRISTIN SMITH MS” Practice Location

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