Tracy A Ezelle is a Pediatrics in Gulf Breeze, Florida. Tracy A Ezelle practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tracy A Ezelle is 1861410979. The last update date is 2012-01-10.
Tracy A Ezelle's current location address is 400 Gulf Breeze Pkwy, Gulf Breeze, Florida. You can contact this provider via phone number 8509325055 and fax number 8509321404. The mailing address for Tracy A Ezelle is 400 Gulf Breeze Pkwy, Gulf Breeze, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy A Ezelle |
|---|---|
| Address | 400 Gulf Breeze Pkwy, Gulf Breeze, Florida |
| Phone Number | 8509325055 |
| Fax Number | 8509321404 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1861410979 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2012-01-10 |
Provider Mailing Address Detail
| Address | 400 Gulf Breeze Pkwy |
|---|---|
| City | Gulf Breeze |
| State | Florida (FL) |
| Post Code | 325614495 |
| Phone Number | 8509325055 |
| Fax Number | 8509321404 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | ARNP2049062 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 307471400 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tracy A Ezelle by the Centers for Medicare & Medicaid Services (CMS)?
The Tracy A Ezelle has been assigned the NPI (National Provider Identifier) 1861410979. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Tracy A Ezelle is geographically located?
The Tracy A Ezelle is physically situated at the following location: 400 Gulf Breeze Pkwy, Gulf Breeze, FL, 325614495.
What is the Tracy A Ezelle's specialty and taxonomy code?
The Tracy A Ezelle's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
On what date was the 1861410979 assigned to Tracy A Ezelle?
The Tracy A Ezelle was issued its 1861410979 on 2006-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Tracy A Ezelle most recently updated or refreshed?
The details pertaining to the Tracy A Ezelle, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-01-10.