Brown Wells, Tracy L.

Brown Wells, Tracy L. is an individual health care provider with primary practice located at 3 Shircliff Way Ste 200 , Jacksonville FL 32204-4785. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Brown Wells, Tracy L. can be contacted via phone (904) 384-3699.

Contact Information

Primary practice address
3 Shircliff Way Ste 200 Jacksonville FL 32204-4785
Phone: (904) 384-3699
Fax: (904) 384-8529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME61217 Florida

Profile Details

NPI number 1295797892
LBN Legal business name Brown Wells, Tracy L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jun 21st, 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 1295797892 NPPES
Florida MEDICAID 376710800

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