Chelsea Nicole Smith, PA-C
Physician Assistant in Tampa, FL. Individual provider (NPI-1).
NPI number1679901151
StatusActive
Last updated in NPPESJun 5, 2025
Details
- NPI
- 1679901151
- Entity type
- Individual (NPI-1)
- Name
- Chelsea Nicole Smith
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2013
- Certification date
- Jun 5, 2025
- Last updated
- Jun 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9107454 | FL | Yes |
Other names
- Chelsea Nicole Montgomery (Former Name)
Practice location
12902 Usf Magnolia DrTampa, FL 33612-9416
Phone 813-745-4673
Mailing address
2995 Drew StClearwater, FL 33759-3012
Phone 727-281-9065
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