person
Tracy M. Creel, PA-C
Medical Physician Assistant in Wildwood, Florida
NPI 1871575324

Tracy M. Creel is a Medical Physician Assistant based in Wildwood, FL and is specialized in Medical. Tracy M. Creel practices in Wildwood, FL and has the professional credentials of PA-C. The NPI Number for Tracy M. Creel is 1871575324 and holds a License No. PA064 (Florida).

The current practice location address for Tracy M. Creel is 411 Webster St, Wildwood, FL and can be reached out via phone at 352-748-6689 and via fax at 352-748-6381.

Location: 411 Webster St, Wildwood, FL, 34785-4036
person
Provider Profile Details
NPI Number
1871575324
Provider Name
Tracy M. Creel
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
411 Webster St, Wildwood, FL, 34785-4036
Phone Number
352-748-6689
Fax Number
352-748-6381
Provider Enumeration Date
11/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001311700 05 FL
03729301 05 MS
Y0139 01 FL BLUECROSS/BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
411 Webster St
City
State
Zip
34785-4036
Phone Number
352-748-6689
Fax Number
352-748-6381
person
Provider Business Mailing Address Details
Address
411 Webster St
City
State
Zip
34785-4036
Phone Number
352-748-6689
Fax Number
352-748-6381
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA064 (Mississippi)
Definition
Definition to come...
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