Most Relevant Information
Provider Data
NPI Number: | 1003207499 |
Provider Name: | KRISTIN MARIE PAUL SMITH PA |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | PA 9108496 |
Most Important Dates
Enumeration Date: | 02/07/2015 |
Last Updated: | 10/19/2023 |
Provider Practice Location
5939 27TH TER N
ST PETERSBURG
FL
337103307
Practice Location Phone/Fax
Phone: | 6518956930 |
Fax: |
Provider Mailing Location
5939 27TH TER N
ST PETERSBURG
FL
337103307
Provider Mailing Phone/Fax
Phone: | 6518956930 |
Fax: |