Princeton Jakourtnee Smith, PHD is a
Psychologist based in Deltona, Florida. Princeton Jakourtnee Smith is licensed to practice in Florida (license number PY11225) and his current practice location is
1200 Deltona Blvd, Deltona, Florida. He can be reached at his office (for appointments etc.) via phone at
(407) 716-4564.
NPI number for Princeton Jakourtnee Smith is 1417625047 and his current mailing address is 6900 Tavistock Lakes Blvd Ste 400, Orlando, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417625047.
Healthcare Provider's Profile
Full Name | Princeton Jakourtnee Smith |
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Gender | Male |
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Speciality | Psychologist |
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Location | 1200 Deltona Blvd, Deltona, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417625047
- Provider Enumeration Date: 08/30/2021
- Last Update Date: 02/21/2024
Medical Identifiers
Medical identifiers for Princeton Jakourtnee Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417625047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PY11225 (Florida) | 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. Princeton Jakourtnee Smith 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 |
Princeton Jakourtnee Smith, PHD 6900 Tavistock Lakes Blvd Ste 400, Orlando, FL 32827-7593 Ph: (321) 326-8616 | Princeton Jakourtnee Smith, PHD 1200 Deltona Blvd, Deltona, FL 32725-6306 Ph: (407) 716-4564 |
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