Marquita Smith-poole, RN is a
Clinic/center - Developmental Disabilities based in Clearwater, Florida. Marquita Smith-poole is licensed to practice in * (Not Available) (license number ) and her current practice location is
1416 Nelson Ave, Clearwater, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 209-9006.
NPI number for Marquita Smith-poole is 1235668989 and her current mailing address is Po Box 5879, Clearwater, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235668989.
Provider's Profile
| Full Name | Marquita Smith-poole |
|---|
| Gender | Female |
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| Speciality | Clinic/center - Developmental Disabilities |
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| Location | 1416 Nelson Ave, Clearwater, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235668989
- Provider Enumeration Date: 06/07/2017
- Last Update Date: 06/26/2018
Medical Identifiers
Medical identifiers for Marquita Smith-poole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235668989 | NPI | - | NPPES |
| 020979700 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 9267398 (Florida) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marquita Smith-poole is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marquita Smith-poole, RN
Po Box 5879,
Clearwater, FL 33758-5879
Ph: (850) 209-9006 | Marquita Smith-poole, RN
1416 Nelson Ave,
Clearwater, FL 33755
Ph: (850) 209-9006 |
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