Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972797348 Individual Practitioner Female Practitioner

Dr. Wanda Ivelisse Smith , MD, MPH

General Practice • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Dr. Wanda Smith, MD, MPH is a registered healthcare professional specializing in General Practice in Orlando, FL. Practice services are available at 1301 W COLONIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1301 W Colonial Dr

Orlando, FL 328047133

Telephone 4072461946
Fax 8558955749
Associated Practice Facility / Clinic
🏢 Can Community Health, Inc. Facility NPI 1689241937

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
170 Specialists

Practicing in Orlando, FL (2490 Statewide)

Telehealth Adoption Rate
16.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-09
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN897

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License FL ACN897

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License PR 7586

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Preventive Medicine - Public Health & General Preventive Medicine

NUCC Taxonomy Code: 2083P0901X

State License PR MPH

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
020108900 (FL)
Commercial Insurance / Payer ID Diplomate American Board Of Sexology
2542 (FL)
Commercial Insurance / Payer ID Md License
XX86 (PR)
Commercial Insurance / Payer ID Md License
ACN 897 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Kelsey Eickelman

Physician Assistant - Medical

NPI 1144883661
Gerard Fisher

Social Worker - Clinical

NPI 1225510282
Jacqueline Spence-Thompson , ARNP, FNP

Nurse Practitioner - Family

NPI 1326671504

Advanced Registered Nurse Practitioner, Family Nurse Practitioner

NPI 1528194438

Doctor of Medicine (M.D.)

Dr. Vincenzo Scotto D'antuono , MD

Internal Medicine - Infectious Disease

NPI 1811962855

Doctor of Medicine (M.D.)

Tracy Burbine , LMHC

Counselor - Mental Health

NPI 1821457193

Licensed Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Family Medicine (License #ACN897 in FL)

📍
Updated Practice Location June 03, 2020

Registered at 1301 W COLONIAL DR, ORLANDO, FL 328047133 (Tel: 4072461946)

📍
Updated Business Mailing Address June 03, 2020

Registered at 4440 FRUITVILLE RD, SARASOTA, FL 342321926 (Tel: 9413660134)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2020

Family Medicine (License #7586 in PR)

📍
Updated Practice Location April 02, 2019

Registered at 115 E LANCASTER RD, ORLANDO, FL 328096689 (Tel: 8635829899)

📍
Updated Business Mailing Address April 02, 2019

Registered at 17906 WOODCREST WAY, CLERMONT, FL 347145906 (Tel: 7876465472)

👤
Provider Name / Credentials Updated April 02, 2019

Recorded as WANDA SMITH, M.D.; MPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2019

Family Medicine (License #ACN897 in FL)

NPI Profile Active February 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2017

Registered at 3278 HAWKS NEST DR, KISSIMMEE, FL 347417523 (Tel: 7879951429)

📍
Updated Business Mailing Address February 26, 2017

Registered at 3278 HAWKS NEST DR, KISSIMMEE, FL 347417523 (Tel: 7879951429)

👤
Provider Name / Credentials Updated February 26, 2017

Recorded as WANDA SMITH, M.D.; MPH; CLERGY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2017

Counselor (License #75XX in PR)

NPI Profile Active August 29, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2007

Registered at 200 CALLE 6 # 78, NUM 92-26, BAYAMON, PR 009594800 (Tel: 7879951429)

📍
Updated Business Mailing Address August 29, 2007

Registered at RR 02 BOX 4119, BOX 4119, TOA ALTA, PR 009530953 (Tel: 7879951429)

👤
Provider Name / Credentials Updated August 29, 2007

Recorded as WANDA SMITH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2007

Preventive Medicine (License #7586 in PR)

🟢
Initial NPI Registration & Enumeration August 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972797348
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2007
Last Update: March 07, 2023
Sole Proprietor: Yes

Mailing Address

4440 Fruitville Rd

Sarasota, FL 342321926

Phone: 9413660134

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.