MEDICARE: ALYSSA SMITH PA-C

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	363A00000X	Physician Assistant	PA9109030	FL

General Provider Information

NPI Number	:	1992256853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA SMITH PA-C

Provider Business Mailing Address
First Line	:	4840 NEW BROAD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32814-6628
Country	:	US
Telephone Number	:	407-930-0400
Fax Number	:

Provider Business Practice Location Address
First Line	:	4840 NEW BROAD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32814-6628
Country	:	US
Telephone Number	:	407-930-0400
Fax Number	:

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

Provider Enumeration Date	:	10/17/2016
Last Update Date	:	10/17/2016

Similar Medicare Providers

1932356748 — COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Practice Location Address:

4808 NEW BROAD ST
ORLANDO, FL
32814-6628

Practice Phone: 407-897-1120
Practice Fax: 407-898-0651

1568723328 — EVELYN C ORTIZ
Practice Location Address:

4808 NEW BROAD ST
ORLANDO, FL
32814-6628

Practice Phone: 407-897-1120
Practice Fax: 407-898-0651

1144260704 — ELIZABETH LEWIS PHILLIPS MD
Practice Location Address:

415 E PINE ST APT 1621
ORLANDO, FL
32801-6628

Practice Phone: 205-613-0860
Practice Fax:

1295938488 — MUSIC THERAPY IN ORLANDO, INC.
Practice Location Address:

729 MAYFAIR CIR
ORLANDO, FL
32803-6628

Practice Phone: 321-558-5423
Practice Fax:

1174982169 — ADVANTACARE MULTI-SPECIALTY GROUP, LLC
Practice Location Address:

815 GOOD HOMES RD
ORLANDO, FL
32818-6628

Practice Phone: 407-601-7940
Practice Fax: 407-704-6943

1760842215 — LISA DOUGLAS MOT, OTR/L, CLT
Practice Location Address:

809 GOOD HOMES RD
ORLANDO, FL
32818-6628

Practice Phone: 407-293-3156
Practice Fax: 407-293-3155

Directions to “ ALYSSA SMITH PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.