Mikaela Smith

NPI 1205540846 · on the registry since 2023 · sole proprietor

Practice

Address: 1701 Park Center Dr Ste 202
Orlando, FL 32835
Phone: (407) 286-2021
Organisation at this address: 360 Metrowest Llc
Deep Blue Lab Llc
Neighborhood Ties Inc
Painx Medical Center Corp
Blooming Health Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 32

Registry record

Primary taxonomy: 106S00000X
106S00000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida