MEDICARE: ALLISON LEIGH SMITH ARNP

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	363L00000X	Nurse Practitioner	ARNP2638822	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	500026302	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699791657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON LEIGH SMITH ARNP

Provider Business Mailing Address
First Line	:	1617 S TUTTLE AVE
Second Line	:	SUITE 1A
City	:	SARASOTA
State	:	FL
Zip	:	34239-3132
Country	:	US
Telephone Number	:	941-330-8885
Fax Number	:	941-906-8774

Provider Business Practice Location Address
First Line	:	1617 S TUTTLE AVE
Second Line	:	SUITE 1A
City	:	SARASOTA
State	:	FL
Zip	:	34239-3132
Country	:	US
Telephone Number	:	941-330-8885
Fax Number	:	941-906-8774

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	02/24/2010

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Directions to “ ALLISON LEIGH SMITH ARNP” Practice Location

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