Provider Demographics
NPI:1497786891
Name:SMART, CLAIRE (CMW)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:SMART
Suffix:
Gender:F
Credentials:CMW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:880 NW 13TH ST STE 330
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2342
Mailing Address - Country:US
Mailing Address - Phone:561-300-2410
Mailing Address - Fax:561-235-7292
Practice Address - Street 1:625 CASA LOMA BLVD STE 102
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-4166
Practice Address - Country:US
Practice Address - Phone:561-413-2832
Practice Address - Fax:561-439-2505
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2023-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJME00034601367A00000X
FLAPRN11000402367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife