NPI 1114789062

Tia D Smith, REGISTEREDNURSE

Practitioner Registered Nurse Longwood, FL

Practice location

Address: 651 W Warren Ave, Longwood, FL 32750-4036
Phone: (407) 214-9019
Mailing address: 5419 Stirrup Way, Orlando, FL 32810-3347

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence RN9538739 (FL)

Other Registered Nurse providers in Florida →

Registry record

NPI: 1114789062
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2024
Record last updated: 26 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.