IndividualActive
Renita Smith
NPI 1104060631 · EEG Technician · Lake Mary, FL
Provider details
- NPI number
- 1104060631
- Entity type
- Individual
- Primary specialty
- EEG TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 641116070073 (FL)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
4044 W Lake Mary Blvd
257
Lake Mary, FL 32746-2012
Phone: (585) 303-6776
Fax: (321) 206-8760
Approximate (ZIP-level) locationGet directions
Mailing address
4044 W Lake Mary Blvd
Lake Mary, FL 32746-2012
Registry dates
- Enumerated
- 2009-04-28
- Last updated
- 2009-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.