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NPI Code Detail

MEDICARE: ANGELA KATRINA SMITH

MEDICARE: ANGELA KATRINA 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
1101YM0800XMental Health Counselor17498FL

General Provider Information

NPI Number : 1821728197
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA KATRINA SMITH
Provider Business Mailing Address
First Line : 55 SILVER PL
Second Line :
City : OCALA
State : FL
Zip : 34472-2323
Country : US
Telephone Number : 352-362-3795
Fax Number :
Provider Business Practice Location Address
First Line : 3230 NE 55TH AVE
Second Line :
City : SILVER SPRINGS
State : FL
Zip : 34488-1721
Country : US
Telephone Number : 855-483-7800
Fax Number : 352-509-5890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2022
Last Update Date : 06/10/2022

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Directions to “ ANGELA KATRINA SMITH ” Practice Location

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