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1669802831
TANNIS SMITH
MELBOURNE, FL
NPI
1669802831
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Professional Name
TANNIS LEE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN9386659)
Enumeration Date
2013-11-25
Last Update Date
2020-03-18
Business Address
TANNIS SMITH APRN
1223 GATEWAY DR STE 2C
MELBOURNE, FL 32901
Phone number: 321-728-6072
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Mailing Address
TANNIS SMITH APRN
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number:
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