MS. RENITA G SMITH
NPI 1104060631
Technician, Other - EEG in Lake Mary, FL

Q: What is Renita Smith's NPI number?

The NPI number for Renita Smith is 1104060631. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Q: What is Renita Smith's specialty?

The primary specialty registered for this NPI is Technician, Other, specializing in EEG, with taxonomy code 2472E0500X.

Q: When was this NPI record last updated?

The NPPES record for Renita Smith was last updated on April 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 28, 2009

4044 W LAKE MARY BLVD, 257, LAKE MARY, FL 32746(585) 303-6776(321) 206-8760 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Renita G Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. RENITA G SMITH (NPI 1104060631) is an individual eeg provider in Lake Mary, Florida, licensed in Florida (641116070073) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1104060631

Entity TypeIndividualFemale

Primary Taxonomy2472E0500X

Provider Legal NameMS. RENITA G SMITH

Location Address4044 W LAKE MARY BLVD, 257Lake Mary, FL 32746-2012

Mailing Address4044 W Lake Mary Blvd, 257Lake Mary, FL 32746-2012 · (585) 303-6776 · Fax (321) 206-8760

Phone(585) 303-6776

Fax(321) 206-8760

Sole ProprietorYes

Enumeration DateApril 28, 2009

✔ NPI 1104060631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Other · EEGTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code2472E0500X

License✔ Licensed in FL · 641116070073

4044 W LAKE MARY BLVD, Lake Mary, FL 32746

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PATRICK MICHAEL CAREY L.P.T.A.

Physical Therapy Assistant

4044 W LAKE MARY BLVD, STE. # 104-245
LAKE MARY, FL 32746

Seminole County (800) 226-9917

DR. WILLIAM THOMAS STILLWELL M.D.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

4044 W LAKE MARY BLVD, #104-345
LAKE MARY, FL 32746

Seminole County (407) 455-2555

DR. PAUL ALLEN JACOBSON M.D.

Psychiatry & Neurology (Psychiatry)

4044 W LAKE MARY BLVD, #410
LAKE MARY, FL 32746

Seminole County (407) 718-8000

BARBARA LOUANNE PERREAULT OTA

Occupational Therapy Assistant

4044 W LAKE MARY BLVD, 104-245
LAKE MARY, FL 32746

Seminole County (800) 226-9917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renita Smith's NPI number?

The NPI number for Renita Smith is 1104060631. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Where is Renita Smith located?

Renita Smith practices at 4044 W Lake Mary Blvd 257, Lake Mary, FL 32746. The listed phone number is (585) 303-6776.

What is Renita Smith's specialty?

The primary specialty registered for this NPI is Technician, Other, specializing in EEG, with taxonomy code 2472E0500X.

When was this NPI record last updated?

The NPPES record for Renita Smith was last updated on April 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.