Tracy M. Creel is a Medical in Wildwood, Florida. Tracy M. Creel practices all healthcare services and medical treatments related to Medical. The NPI Number for Tracy M. Creel is 1871575324. The last update date is 2011-03-21.
Tracy M. Creel's current location address is 411 Webster St, Wildwood, Florida. You can contact this provider via phone number 3527486689 and fax number 3527486381. The mailing address for Tracy M. Creel is 411 Webster St, Wildwood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy M. Creel |
|---|---|
| Address | 411 Webster St, Wildwood, Florida |
| Phone Number | 3527486689 |
| Fax Number | 3527486381 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1871575324 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2011-03-21 |
Provider Mailing Address Detail
| Address | 411 Webster St |
|---|---|
| City | Wildwood |
| State | Florida (FL) |
| Post Code | 347854036 |
| Phone Number | 3527486689 |
| Fax Number | 3527486381 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA064 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1311700 | FL | -- | |
| 3729301 | MS | -- | |
| Y0139 | FL | BLUECROSS/BLUESHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Tracy M. Creel by the Centers for Medicare & Medicaid Services?
The Tracy M. Creel has been assigned the NPI (National Provider Identifier) 1871575324. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tracy M. Creel's facilities are situated?
The facilities of Tracy M. Creel are physically located at the following address: 411 Webster St, Wildwood, FL, 347854036.
What is the Tracy M. Creel's area of specialization and corresponding taxonomy classification?
The Tracy M. Creel's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did Tracy M. Creel receive its 1871575324 assignment from the Centers for Medicare & Medicaid Services?
The Tracy M. Creel was assigned its 1871575324 on 2005-11-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Tracy M. Creel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tracy M. Creel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-03-21.