Black Pace, Troy Edward
Black Pace, Troy Edward is an individual health care provider with primary practice located at 2910 Brownwood Blvd , The Villages FL 32163-2032. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Black Pace, Troy Edward can be contacted via phone (352) 674-1790.Contact Information
Primary practice address
2910 Brownwood Blvd
The Villages FL 32163-2032
Phone: (352) 674-1790
Fax: (352) 674-8990
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9112734 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9112734 | Florida |
Profile Details
NPI number | 1639722887 |
---|---|
LBN Legal business name | Black Pace, Troy Edward |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2019 |
Last updated | Mar 12th, 2021 - about 3 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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