Individual provider · Type 1 NPI

Wanda Ivelisse Smith, M.D.; MPH

General Practice Physician · Orlando, FL

NPI number 1972797348 Active

Practice location

1301 W Colonial Dr
Orlando, FL 32804-7133

Call (407) 246-1946 Map

Fax (855) 895-5749

Mailing address

4440 Fruitville Rd
Sarasota, FL 34232-1926

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XACN897 (FL)
Family Medicine Physician 207Q00000X7586 (PR)
Public Health & General Preventive Medicine Physician 2083P0901XMPH (PR)
General Practice Physician Primary 208D00000XACN897 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1972797348

Wanda Ivelisse Smith, M.D.; MPH's National Provider Identifier is 1972797348, issued on Aug 29, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Orlando, FL. The record was last updated on Mar 7, 2023.