Provider Demographics
NPI:1326755455
Name:SMART, ERICA DIANNIE (HHA)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:DIANNIE
Last Name:SMART
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 NE 167TH ST STE 319
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-2441
Mailing Address - Country:US
Mailing Address - Phone:786-320-6347
Mailing Address - Fax:954-231-3140
Practice Address - Street 1:633 NE 167TH ST STE 319
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-2441
Practice Address - Country:US
Practice Address - Phone:786-320-6347
Practice Address - Fax:954-231-3140
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health