Riddle, Tracy Lee

Riddle, Tracy Lee is an individual health care provider with primary practice located at 10762 Se Us Highway 441 , Belleview FL 34420-3805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Riddle, Tracy Lee can be contacted via phone (352) 347-5225.

Contact Information

Primary practice address
10762 Se Us Highway 441 Belleview FL 34420-3805
Phone: (352) 347-5225
Fax: (352) 347-1073
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9244294 Florida

Profile Details

NPI number 1083890271
LBN Legal business name Riddle, Tracy Lee
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2008
Last updated Sep 11th, 2013 - about 11 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 1083890271 NPPES
Florida MEDICAID 312288300

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