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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WANDA IVELISSE SMITH, M.D.; MPH

Active Sole Proprietor

DR. WANDA IVELISSE SMITH, M.D.; MPH is a General Practice healthcare provider located in ORLANDO, Florida. NPI 1972797348 is currently active in the NPPES registry. Verify at CMS.

General Practice · ORLANDO, FL

Registration Details

NPI Number
1972797348
Provider Type
Individual
Gender
Female
NPI Issued
Aug 29, 2007 (18.946355527669 yrs)
Last Updated
Mar 7, 2023
Licenses
ACN897 (FL)
7586 (PR)
MPH (PR)
ACN897 (FL)
Sole Proprietor
Yes

Practice Information

Address
1301 W COLONIAL DR
ORLANDO, FL, 328047133
Browse FL providers · Browse ZIP 32804
Phone
4072461946
Fax
8558955749
Primary Specialty
General Practice
208D00000X
Additional Specialty
Family Medicine
Additional Specialty
General Practice

Other General Practice Providers in ORLANDO, FL

Name Credential NPI
DR. MELISSA C KIRBY M.D. 1184627374
DR. YOLANDA M MOLINARIS M.D 1710984919
JOSE A CORNEJO M.D. 1679572432
DR. JAVIER ANTONIO ROSARIO M.D. 1568461945
DR. LINDA MARIS MELENDEZ-TORRES M.D. 1316933708
DR. DARIUSZ GRZEGORZ MYDLARZ M.D. 1063494631
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.