SearchFlorida163W00000X

Diedre Smith

NPI 1548634157 · on the registry since 2015 · sole proprietor

Practice

Address
9624 Maxson Drive
Land O Lakes, FL 34638
Phone
(813) 751-4718
Organisation at this address
Dee S De Haven Care
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
251C00000X
163WC1500X
172V00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-15

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