Dzugan, Tracy Michelle

Dzugan, Tracy Michelle is an individual health care provider with primary practice located at 15201 N Cleveland Ave Ste 1010 , North Fort Myers FL 33903-2717. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Dzugan, Tracy Michelle can be contacted via phone (833) 674-2500.

Contact Information

Primary practice address
15201 N Cleveland Ave Ste 1010 North Fort Myers FL 33903-2717
Phone: (833) 674-2500
Fax: (239) 599-4126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN9364680 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN9364680 Florida

Profile Details

NPI number 1427474410
LBN Legal business name Dzugan, Tracy Michelle
Credentials MS,FNP,PMHNP-BC,APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2014
Last updated Dec 22nd, 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 1427474410 NPPES
Florida MEDICAID 011817700

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