Cerbone, Tracey E
Cerbone, Tracey E is an individual health care provider with primary practice located at 1651 Se Tiffany Ave Ste 102, Port St Lucie FL 34952-7564. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Cerbone, Tracey E can be contacted via phone (772) 398-1824.Contact Information
Primary practice address
1651 Se Tiffany Ave Ste 102
Port St Lucie FL 34952-7564
Phone: (772) 398-1824
Fax: (772) 335-2422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME59501 | Florida |
Profile Details
| NPI number | 1376562918 |
|---|---|
| LBN Legal business name | Cerbone, Tracey E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Feb 24th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376562918 | NPPES |
| Florida | MEDICAID | 256229400 |
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