Truchelut, Tracy A

Truchelut, Tracy A is an individual health care provider with primary practice located at 1925 Mizell Ave Suite 302, Winter Park FL 32792-4106. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Truchelut, Tracy A can be contacted via phone (407) 629-6646.

Contact Information

Primary practice address
1925 Mizell Ave Suite 302 Winter Park FL 32792-4106
Phone: (407) 629-6646
Fax: (407) 740-5089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME47684 Florida

Profile Details

NPI number 1558350090
LBN Legal business name Truchelut, Tracy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Aug 17th, 2012 - about 14 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 1558350090 NPPES
Florida Other 47799 BCBS INDIVIDUAL ID #

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