Tracy A. Fenn is a Medical in Port St. Lucie, Florida. Tracy A. Fenn practices all healthcare services and medical treatments related to Medical. The NPI Number for Tracy A. Fenn is 1750318242. The last update date is 2008-01-23.
Tracy A. Fenn's current location address is Lumar Plaza, 1847 Psl Blvd, Port St. Lucie, Florida. You can contact this provider via phone number 7725792303. The mailing address for Tracy A. Fenn is Lumar Plaza, 1847 Psl Blvd, Port St. Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy A. Fenn |
|---|---|
| Address | Lumar Plaza, 1847 Psl Blvd, Port St. Lucie, Florida |
| Phone Number | 7725792303 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1750318242 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2008-01-23 |
Provider Mailing Address Detail
| Address | Lumar Plaza, 1847 Psl Blvd |
|---|---|
| City | Port St. Lucie |
| State | Florida (FL) |
| Post Code | 949520 |
| Phone Number | 7725792303 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tracy A. Fenn by the Centers for Medicare & Medicaid Services?
The Tracy A. Fenn has been assigned the NPI (National Provider Identifier) 1750318242 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Tracy A. Fenn is located?
The Tracy A. Fenn is situated at the following address: Lumar Plaza, 1847 Psl Blvd, Port St. Lucie, FL, 949520.
What is Tracy A. Fenn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tracy A. Fenn is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Tracy A. Fenn receive its 1750318242 assignment from the Centers for Medicare & Medicaid Services?
The Tracy A. Fenn was assigned its 1750318242 by the Centers for Medicare & Medicaid Services on 2006-06-28.
As of what date was the information regarding Tracy A. Fenn, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tracy A. Fenn, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-23.
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