SANDRENE SMART (NPI# 1306323340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306323340 |
| Entity Type | Individual |
| Full Name | SANDRENE SMART |
| Practice Address |
625 Commerce Dr. (suite 103) Lakeland FL 33813 |
| Practice Telephone | 6316915869 |
| Mailing Telephone | 6316915869 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
625 COMMERCE DR. (SUITE 103) |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| 1023443470 | Jennifer Lynn Francis | Physical Therapist | 3900 South Florida Ave, Suite 107, Lakeland, FL 33813 | 2013-09-04 |
| Find all providers in zip 33813 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366071995 | Better Quest Healthcare Agency | Clinic/Center | 8083 Darlington Cir, Lakeland, FL 33809-6841 | 2020-04-06 |
| 1033753876 | Sanergy Administrative and Home Care Services | Clinic/Center | 722 Saratoga Ave, Lakeland, FL 33815-1279 | 2019-11-05 |
| 1962044602 | Helping Everyone Spiritually LLC | Clinic/Center | 7225 Twin Cedar Ln, Lakeland, FL 33810-2183 | 2019-10-15 |
| 1831746593 | Bobbie Dashercare LLC | Clinic/Center | 4006 Golf Village Loop Apt 2, Lakeland, FL 33809-4056 | 2019-08-19 |
| 1316416381 | Shacoya Montgomery | Clinic/Center | 3909 Sandhill Crane Dr, Lakeland, FL 33811-1862 | 2018-11-19 |
| 1629577382 | Dane Anthony Jones | Clinic/Center | 7833 Manor Dr, Lakeland, FL 33810-1380 | 2018-02-08 |
| 1235650029 | Lynn Tatyana Joseph | Clinic/Center | 921 E Parker St Ste 4, Lakeland, FL 33801-1901 | 2017-06-30 |
| 1730252479 | South Georgia Csb | Clinic/Center | 321 W Brantley, Lakeland, GA 31635 | 2006-11-17 |
| 1376190025 | C&g's Grace Place LLC | Clinic/Center | 6763 Krenson Oaks Cir, Lakeland, FL 33810-2157 | 2019-08-19 |
| 1497229926 | Awesome Angels of Change LLC | Clinic/Center | 3909 Sandhill Crane Dr, Lakeland, FL 33811-1862 | 2019-01-17 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.