Adams, Tracey Ray

Adams, Tracey Ray is an individual health care provider with primary practice located at 2200 Fowler Grove Blvd Ste 140 , Winter Garden FL 34787-5597. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Adams, Tracey Ray can be contacted via phone (407) 614-0528.

Contact Information

Primary practice address
2200 Fowler Grove Blvd Ste 140 Winter Garden FL 34787-5597
Phone: (407) 614-0528
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3008520 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COA.14270-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11015650 Florida

Profile Details

NPI number 1376882225
LBN Legal business name Adams, Tracey Ray
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2013
Last updated Jan 18th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1376882225 NPPES
Kentucky MEDICAID 7100238800

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