Provider Demographics
NPI:1558147066
Name:SMITH TODD, CLAUDIA A (RN)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:A
Last Name:SMITH TODD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 MAGELLAN CIR
Mailing Address - Street 2:
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34715-5700
Mailing Address - Country:US
Mailing Address - Phone:860-752-0142
Mailing Address - Fax:
Practice Address - Street 1:755 LAKEVIEW POINTE DR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1937
Practice Address - Country:US
Practice Address - Phone:860-478-3887
Practice Address - Fax:352-404-8035
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9493470163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health