Jacqueline Lenore Smith

Contractor · Mount Dora, FL

Individual Active NPI

NPI number 1245701747

Practice location

30419 Lipizzan Ter
Mount Dora, FL 32757-7841
Phone
(877) 797-2707

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NPI record

NPI
1245701747
Entity type
Individual (Type 1)
Enumeration date
December 9, 2018
Last updated
December 9, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X — —

Mailing address

3824 Brownes Ferry Rd
Charlotte, NC 28269-8916
Phone
(704) 612-4104
Fax
(704) 973-0866

About Jacqueline Smith

Jacqueline Lenore Smith is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 30419 Lipizzan Ter, Mount Dora, FL 32757-7841. The NPI number 1245701747 was assigned on December 9, 2018 and the record was last updated on December 9, 2018.

Frequently asked questions

What is the NPI number of Jacqueline Lenore Smith?

The NPI number is 1245701747.

What is the phone number of Jacqueline Smith?

The phone number listed for the practice location is (877) 797-2707.

Where is Jacqueline Smith located?

30419 Lipizzan Ter, Mount Dora, FL 32757-7841.

What is the taxonomy code for Jacqueline Smith?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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