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Dr. Wanda Ivelisse Smith, MD;MPH
General Practice Physician in Orlando, Florida
NPI 1972797348

Wanda Ivelisse Smith is a General Practice Physician based in Sarasota, FL. Wanda Ivelisse Smith practices in Orlando, FL and has the professional credentials of MD;MPH. The NPI Number for Wanda Ivelisse Smith is 1972797348 and holds a License No. ACN897 (Florida).

The current practice location address for Wanda Ivelisse Smith is 1301 W Colonial Dr, Orlando, FL and can be reached out via phone at 407-246-1946 and via fax at 855-895-5749. You can also correspond with Wanda Ivelisse Smith through the mailing address at 4440 FRUITVILLE RD, SARASOTA, FL - 34232-1926 (mailing address contact number: 941-366-0134).

Location: 1301 W Colonial Dr, Orlando, FL, 34232-1926
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972797348
Provider Name
Wanda Ivelisse Smith
Credential
MD;MPH
Provider Entity Type
Individual
Gender
Female
Address
1301 W Colonial Dr, Orlando, FL, 34232-1926
Phone Number
407-246-1946
Fax Number
855-895-5749
Provider Enumeration Date
08/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2542 01 FL DIPLOMATE AMERICAN BOARD OF SEXOLOGY
020108900 05 FL
XX86 01 PR MD LICENSE
ACN 897 01 FL MD LICENSE
institution
Provider Business Practice Location Address Details
Address
1301 W Colonial Dr
City
Orlando
State
Florida
Zip
32804-7133
Phone Number
407-246-1946
Fax Number
855-895-5749
person
Provider Business Mailing Address Details
Address
1301 W Colonial Dr
City
Orlando
State
Florida
Zip
32804-7133
Phone Number
407-246-1946
Fax Number
855-895-5749
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MPH ()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Public Health & General Preventive Medicine
Taxonomy
2083P0901X
License No.
7586 ()
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ACN897 (Florida)
Definition
Definition to come...
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