MARQUITA SMITH-POOLE


Address: 1416 Nelson Ave, Clearwater, FL 33755
Phone: 8502099006

MARQUITA SMITH-POOLE (NPI# 1235668989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235668989
Entity Type Individual
Full Name MARQUITA SMITH-POOLE
Credential RN
Practice Address 1416 Nelson Ave
Clearwater
FL 33755
Mailing Address Po Box 5879
Clearwater
FL 33758-5879
Practice Telephone 8502099006
Mailing Telephone 8502099006
Enumeration Date 2017-06-07
Last Update Date 2018-06-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 9267398 FL Nursing Service Providers
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 020979700 05

Office Location

Street Address 1416 NELSON AVE
City CLEARWATER
State FL
Zip Code 33755

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1861858987 Leslie S Coley Specialist 1484 Gulf To Bay Blvd Unit 4, Clearwater, FL 33755 2016-01-05
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1184706921 Brandy Jo Jennings Dental Hygienist 1455 Sunset Point Road, Clearwater, FL 33755 2006-10-20
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1932145323 Eric Isaac Egozi Plastic Surgery 1608 Gulf To Bay Blvd, Clearwater, FL 33755 2006-06-22
1053304022 Robert Donnelly Orthopaedic Surgery 1660 Gulf To Bay Blvd, Clearwater, FL 33755 2005-08-25
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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

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1003471582 Snh Group Home, LLC Clinic/Center 1561 Rosemont Dr, Clearwater, FL 33755-2149 2019-05-09
1962996140 Jeremy Scott Martin Clinic/Center 2481 N.e. Coachman Rd, Clearwater, FL 33765 2018-06-20
1821515693 Pughs Caring Angels LLC Clinic/Center 730 N Old Coachman Rd Apt I1, Clearwater, FL 33765-2326 2017-08-23

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Competitor

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City CLEARWATER
Zip Code 33755

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Dataset Information

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.

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