Angus, Tracy Lynn

Angus, Tracy Lynn is an individual health care provider with primary practice located at 7243 Us Highway 301 S , Riverview FL 33578-8399. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Angus, Tracy Lynn can be contacted via phone (813) 663-9828.

Contact Information

Primary practice address
7243 Us Highway 301 S Riverview FL 33578-8399
Phone: (813) 663-9828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT11118 Florida

Profile Details

NPI number 1366654261
LBN Legal business name Angus, Tracy Lynn
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Sep 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366654261 NPPES
Florida MEDICAID 022100400

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