Provider Demographics
NPI:1225316789
Name:SMITH, ADRIA M (ARNP)
Entity Type:Individual
Prefix:
First Name:ADRIA
Middle Name:M
Last Name:SMITH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:10000 W COLONIAL DR
Mailing Address - Street 2:SUITE 487
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-3400
Mailing Address - Country:US
Mailing Address - Phone:407-296-1923
Mailing Address - Fax:407-445-5550
Practice Address - Street 1:10000 W COLONIAL DR
Practice Address - Street 2:SUITE 487
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-3400
Practice Address - Country:US
Practice Address - Phone:407-296-1923
Practice Address - Fax:407-445-5550
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP 9209362363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health