MS. RENITA G SMITH (NPI# 1104060631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104060631 |
| Entity Type | Individual |
| Full Name | MS. RENITA G SMITH |
| Practice Address |
4044 W Lake Mary Blvd 257 Lake Mary FL 32746-2012 |
| Practice Telephone | 5853036776 |
| Practice Fax Number | 3212068760 |
| Mailing Telephone | 5853036776 |
| Mailing Fax Number | 3212068760 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2472E0500X |
Technician, Other Specialization: EEG |
641116070073 | FL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4044 W LAKE MARY BLVD 257 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821131780 | Paul Allen Jacobson | Psychiatry & Neurology | 4044 W Lake Mary Blvd, #410, Lake Mary, FL 32746-2012 | 2007-02-14 |
| 1437595675 | William Thomas Stillwell | Orthopaedic Surgery | 4044 W Lake Mary Blvd, #104-345, Lake Mary, FL 32746-2012 | 2013-05-15 |
| 1922398684 | Barbara Louanne Perreault | Occupational Therapy Assistant | 4044 W Lake Mary Blvd, 104-245, Lake Mary, FL 32746-2012 | 2011-04-14 |
| 1114117413 | Patrick Michael Carey | Physical Therapy Assistant | 4044 W Lake Mary Blvd, Ste. # 104-245, Lake Mary, FL 32746-2012 | 2007-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 2472E0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| Specialization | EEG |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902442346 | Gerald Dquan Hayes | Technician, Other | 282 Ne 45th Ter, Gainesville, FL 32641-1982 | 2019-11-20 |
| 1477105617 | Joma Saleem | Technician, Other | 755 Burlwood St, Brandon, FL 33511-2803 | 2019-07-09 |
| 1881158921 | Jared A Neubrander | Technician, Other | 2054 Vista Pkwy Ste 400, West Palm Beach, FL 33411-6742 | 2019-01-23 |
| 1023560844 | Center for Neurofitness LLC | Technician, Other | 248 Southpark Cir E, St Augustine, FL 32086-5137 | 2016-10-27 |
Please comment or provide details below to improve the information on MS. RENITA G SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.