Perez, Tracy

Perez, Tracy is an individual health care provider with primary practice located at 2900 W Cypress Creek Rd Suite 3, Ft Lauderdale FL 33309-1715. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Perez, Tracy can be contacted via phone (954) 601-1930.

Contact Information

Primary practice address
2900 W Cypress Creek Rd Suite 3 Ft Lauderdale FL 33309-1715
Phone: (954) 601-1930
Fax: (954) 601-1399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X Florida

Profile Details

NPI number 1437365541
LBN Legal business name Perez, Tracy
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Sep 12th, 2011 - about 15 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 1437365541 NPPES
Florida MEDICAID PENDING

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