Brown Wells, Tracy L.
Brown Wells, Tracy L. is an individual health care provider with primary practice located at 3 Shircliff Way Ste 200 , Jacksonville FL 32204-4785. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Brown Wells, Tracy L. can be contacted via phone (904) 384-3699.Contact Information
Primary practice address
3 Shircliff Way Ste 200
Jacksonville FL 32204-4785
Phone: (904) 384-3699
Fax: (904) 384-8529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | ME61217 | Florida |
Profile Details
| NPI number | 1295797892 |
|---|---|
| LBN Legal business name | Brown Wells, Tracy L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jun 21st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295797892 | NPPES |
| Florida | MEDICAID | 376710800 |
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