Eilers, Tracy Lee

Eilers, Tracy Lee is an individual health care provider with primary practice located at 200 Avenue F Ne Ste 9118 , Winter Haven FL 33881-4131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Eilers, Tracy Lee can be contacted via phone (863) 297-1777.

Contact Information

Primary practice address
200 Avenue F Ne Ste 9118 Winter Haven FL 33881-4131
Phone: (863) 297-1777
Fax: (863) 297-1756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9234028 Florida

Profile Details

NPI number 1639624778
LBN Legal business name Eilers, Tracy Lee
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2016
Last updated Mar 2nd, 2021 - about 5 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 1639624778 NPPES
Florida MEDICAID 019014600

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