Gamble, Traci

Gamble, Traci is an individual health care provider with primary practice located at 702 N Us Highway 441 , Lady Lake FL 32159-3194. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Gamble, Traci can be contacted via phone (352) 205-7361.

Contact Information

Primary practice address
702 N Us Highway 441 Lady Lake FL 32159-3194
Phone: (352) 205-7361
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X

Profile Details

NPI number 1568978930
LBN Legal business name Gamble, Traci
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2017
Last updated Dec 21st, 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 1568978930 NPPES
Florida Other AS3856 FLORIDA BOARD OF HEALTH

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