MEDICARE: LINDSAY RAE SMOLJAN FHP, HC

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	171400000X	Health & Wellness Coach		FL

General Provider Information

NPI Number	:	1942069323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY RAE SMOLJAN FHP, HC

Provider Business Mailing Address
First Line	:	3000 NE 2ND AVE APT 906
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-5422
Country	:	US
Telephone Number	:	708-945-4501
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 NE 2ND AVE APT 906
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-5422
Country	:	US
Telephone Number	:	708-945-4501
Fax Number	:

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

Provider Enumeration Date	:	03/18/2024
Last Update Date	:	03/18/2024

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