Sanderbeck, Tracey

Sanderbeck, Tracey is an sole proprietor health care provider with primary practice located at 8253 113Th St , Seminole FL 33772-4128. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Sanderbeck, Tracey can be contacted via phone (727) 295-5050.

Contact Information

Primary practice address
8253 113Th St Seminole FL 33772-4128
Phone: (727) 295-5050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9168905 Florida

Profile Details

NPI number 1104213719
LBN Legal business name Sanderbeck, Tracey
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2015
Last updated Sep 12th, 2018 - about 8 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 1104213719 NPPES
Florida MEDICAID 020971300

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