MEDICARE: SMYTHE'S HEALTH, WELLNESS AND PSYCHIATRIC SERVICES

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1891620720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMYTHE'S HEALTH, WELLNESS AND PSYCHIATRIC SERVICES

Provider Business Mailing Address
First Line	:	7481 W OAKLAND PARK BLVD STE 301
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319-4961
Country	:	US
Telephone Number	:	754-779-5385
Fax Number	:

Provider Business Practice Location Address
First Line	:	7481 W OAKLAND PARK BLVD STE 301
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319-4961
Country	:	US
Telephone Number	:	754-779-5385
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. TASHANA SMYTHE
Credential	:	PMHNP-BC
Telephone Number	:	754-779-5385

Provider Enumeration Date	:	06/13/2026
Last Update Date	:	06/13/2026

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