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1184671638
JACKIE SMITH
TAMPA, FL
NPI
1184671638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP1307372)
Enumeration Date
2006-05-30
Last Update Date
2011-09-22
Business Address
-- JACKIE SMITH ARNP
1 TAMPA GENERAL CIR SUITE G415
TAMPA, FL 33606-3571
Phone number: 813-844-7968
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Mailing Address
-- JACKIE SMITH ARNP
PO BOX 1289
TAMPA, FL 33601-1289
Phone number: 813-844-7968
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