Eismont, Tracey J

Eismont, Tracey J is an individual health care provider with primary practice located at 1 Shircliff Way , Jacksonville FL 32204-4748. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Eismont, Tracey J can be contacted via phone (904) 308-7300.

Contact Information

Primary practice address
1 Shircliff Way Jacksonville FL 32204-4748
Phone: (904) 308-7300
Fax: (904) 346-0113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3182 Florida

Profile Details

NPI number 1275529539
LBN Legal business name Eismont, Tracey J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jan 11th, 2013 - about 13 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 1275529539 NPPES
Florida Other PA0003182 RRMCR
Florida Other 9700123003 RRMCR

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