Derryberry, Tracy

Derryberry, Tracy is an individual health care provider with primary practice located at 10110 Bahama Dr , Cutler Bay FL 33189-1506. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Derryberry, Tracy can be contacted via phone (305) 577-4840.

Contact Information

Primary practice address
10110 Bahama Dr Cutler Bay FL 33189-1506
Phone: (305) 577-4840
Fax: (305) 400-6243
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9417391 Florida

Profile Details

NPI number 1558733485
LBN Legal business name Derryberry, Tracy
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2015
Last updated Oct 30th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558733485 NPPES
Florida Other RN9417391 RN LICENSE

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