Tracy M Bodford in Jacksonville - Addiction (substance Use Disorder)
Tracy M Bodford - NPI 1679736011
Tracy M Bodford is a Addiction (substance Use Disorder) in Jacksonville, Florida. Tracy M Bodford practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Tracy M Bodford is 1679736011. The last update date is 2020-10-12.
Tracy M Bodford's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Tracy M Bodford is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy M Bodford |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1679736011 |
|---|---|
| Provider Enumeration Date | 2008-07-07 |
| Last Updated Date | 2020-10-12 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | C006079 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique identifier code issued to Tracy M Bodford by the Centers for Medicare & Medicaid Services (CMS)?
The Tracy M Bodford has been assigned the NPI (National Provider Identifier) 1679736011. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Tracy M Bodford's physical address?
The Tracy M Bodford is physically located at 4500 San Pablo Rd S, in the city of Jacksonville, FL, with the postal code 322241865.
What is Tracy M Bodford's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tracy M Bodford's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did the Tracy M Bodford receive its 1679736011 assignment from the Centers for Medicare & Medicaid Services?
The Tracy M Bodford was assigned its 1679736011 by the Centers for Medicare & Medicaid Services on 2008-07-07.
When was the information related to Tracy M Bodford most recently updated or refreshed?
The details pertaining to the Tracy M Bodford, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-10-12.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY