Abbott, Tracy Allen

Abbott, Tracy Allen is an individual health care provider with primary practice located at 395 W Madison St , Starke FL 32091-3923. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Abbott, Tracy Allen can be contacted via phone (904) 964-7774.

Contact Information

Primary practice address
395 W Madison St Starke FL 32091-3923
Fax: (904) 964-7807
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS35741 Florida

Profile Details

NPI number 1316474513
LBN Legal business name Abbott, Tracy Allen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2017
Last updated May 18th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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