Tracy A Truchelut in Winter Park - Specialist
Tracy A Truchelut - NPI 1558350090
Tracy A Truchelut is a Specialist in Winter Park, Florida. Tracy A Truchelut practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tracy A Truchelut is 1558350090. The last update date is 2012-08-17.
Tracy A Truchelut's current location address is 1925 Mizell Ave, Winter Park, Florida. You can contact this provider via phone number 4076296646 and fax number 4077405089. The mailing address for Tracy A Truchelut is 1925 Mizell Ave, Winter Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy A Truchelut |
|---|---|
| Address | 1925 Mizell Ave, Winter Park, Florida |
| Phone Number | 4076296646 |
| Fax Number | 4077405089 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558350090 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2012-08-17 |
Provider Mailing Address Detail
| Address | 1925 Mizell Ave |
|---|---|
| City | Winter Park |
| State | Florida (FL) |
| Post Code | 327924106 |
| Phone Number | 4076296646 |
| Fax Number | 4077405089 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME47684 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47799 | FL | BCBS INDIVIDUAL ID # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tracy A Truchelut?
The Tracy A Truchelut has been issued the NPI (National Provider Identifier) 1558350090 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Tracy A Truchelut is physically located?
The Tracy A Truchelut is situated at the following address: 1925 Mizell Ave, Winter Park, FL 327924106.
What is Tracy A Truchelut's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracy A Truchelut's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did Tracy A Truchelut receive its 1558350090 assignment?
The Tracy A Truchelut was assigned its 1558350090 on 2005-10-18, which is the date when this unique identifier was issued to the organization.
As of what date were the Tracy A Truchelut's details last updated?
The information pertaining to the Tracy A Truchelut, including its address, specialty, and other details, was most recently updated on 2012-08-17.