Provider Demographics
NPI:1982761615
Name:NESMITH, DAN E (CRNA)
Entity Type:Individual
Prefix:
First Name:DAN
Middle Name:E
Last Name:NESMITH
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1381 CITRUS TOWER BLVD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1957
Mailing Address - Country:US
Mailing Address - Phone:352-243-9114
Mailing Address - Fax:352-243-7822
Practice Address - Street 1:1381 CITRUS TOWER BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1957
Practice Address - Country:US
Practice Address - Phone:352-243-9114
Practice Address - Fax:352-243-7822
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1373952367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL592689712OtherUHC
FL149563094OtherTRI C
FLARNP1373952OtherWC
FL306816100Medicaid
FLN146227OtherWELLCR
FLG3684OtherBCBS FLA
FLG3684OtherBCBS FLA