Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. JOHNELL M SMITH PA-C
NPI 1417904418
Physician Assistant - Surgical in Bay Pines, FL

Active since May 27, 2006
10000 BAY PINES BLVD, BAY PINES, FL 33708(727) 398-6661 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Johnell M Smith Pa-c NPPES

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

MRS. JOHNELL M SMITH PA-C (NPI 1417904418) is an individual surgical provider in Bay Pines, Florida and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1417904418
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. JOHNELL M SMITHCredential: PA-C
Location Address10000 BAY PINES BLVDBay Pines, FL 33708
Mailing Address10752 Chapman CtLargo, FL 33777-1236 · (727) 398-6661
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1417904418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
10000 BAY PINES BLVD, Bay Pines, FL 33708

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Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Pharmacist (Pharmacotherapy)
10000 BAY PINES BLVD
ST. PETERSBURG, FL 33708
Pharmacist
10000 BAY PINES BLVD
ST PETERSBURG, FL 33708
Pharmacist
10000 BAY PINES BLVD, PHARMACY SERVICE (119)
ST. PETERSBURG, FL 33708
Pharmacist (Pharmacotherapy)
10000 BAY PINES BLVD
BAY PINES, FL 33708
Nurse Practitioner
10000 BAY PINES BLVD, BAY PINES VA HEALTHCARE SYSTEM--BLDG 100-4C GI LAB
ST PETERSBURG, FL 33708
Nurse Practitioner (Adult Health)
10000 BAY PINES BLVD
ST. PETERSBURG, FL 33708
Thoracic Surgery (Cardiothoracic Vascular Surgery)
10000 BAY PINES BLVD, C/O DEPT OF SURG
BAY PINES, FL 33708
Anesthesiology
10000 BAY PINES BLVD, BAY PINES HEALTH CARE SYSTEM
ST PETERSBURG, FL 33708
Registered Nurse
10000 BAY PINES BLVD
BAY PINES, FL 33708
Social Worker
10000 BAY PINES BLVD
ST PETERSBURG BLVD, FL 33708
Speech-Language Pathologist
10000 BAY PINES BLVD
ST PETERSBURG, FL 33708
Nurse Practitioner
10000 BAY PINES BLVD
ST. PETERSBURG, FL 33708
Pharmacist (Pharmacotherapy)
10000 BAY PINES BLVD, BUILDING 100
ST. PETERSBURG, FL 33708
Pharmacist
10000 BAY PINES BLVD
ST. PETERSBURG, FL 33708
Pharmacist
10000 BAY PINES BLVD
BAY PINES, FL 33708

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417904418, enumerated as an "individual" on May 27, 2006.

The provider is located at 10000 BAY PINES BLVD BAY PINES, FL 33708 and the phone number is (727) 398-6661.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.