TANNIS SMITH

MELBOURNE, FL
NPI1669802831
Professional NameTANNIS LEE SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  APRN9386659)
Enumeration Date2013-11-25
Last Update Date2020-03-18
Business Address
TANNIS SMITH APRN
1223 GATEWAY DR STE 2C
MELBOURNE, FL 32901
Phone number: 321-728-6072
Mailing Address
TANNIS SMITH APRN
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number: