Basic Information
| Provider Information | |||||||||
| NPI: | 1871881086 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SMITH-LOVE | ||||||||
| FirstName: | JANIS | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3650NW82ND AVE 502 | ||||||||
| Address2: | |||||||||
| City: | DORAL | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331666695 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055949333 | ||||||||
| FaxNumber: | 3505940440 | ||||||||
| Practice Location | |||||||||
| Address1: | 2905 N COMMERCE PKWY | ||||||||
| Address2: | |||||||||
| City: | MIRAMAR | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330253957 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9549676550 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2011 | ||||||||
| LastUpdateDate: | 10/12/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | ARNP1189092 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care | 363LF0000X | ARNP1189092 | FL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.