Long, Tracy

Long, Tracy is an sole proprietor health care provider with primary practice located at 259 Bill France Blvd , Daytona Beach FL 32114-1316. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Long, Tracy can be contacted via phone (386) 868-1992.

Contact Information

Primary practice address
259 Bill France Blvd Daytona Beach FL 32114-1316
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 9483061 Florida

Profile Details

NPI number 1023596657
LBN Legal business name Long, Tracy
Credentials RN, BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2018
Last updated Aug 6th, 2018 - about 6 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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