Provider Demographics
NPI:1437495215
Name:SMITH, PILAR CECILIA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:PILAR
Middle Name:CECILIA
Last Name:SMITH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34700 JISTHER WAY
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32736-9002
Mailing Address - Country:US
Mailing Address - Phone:352-455-5530
Mailing Address - Fax:
Practice Address - Street 1:34700 JISTHER WAY
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32736-9002
Practice Address - Country:US
Practice Address - Phone:352-455-5530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-23
Last Update Date:2012-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2543322363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner