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Contact Information

TRACY A ABBOTT
395 W MADISON ST
STARKE, FL32091-3923
 Phone: 904-964-7774
 Fax: 904-964-7807
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for TRACY A ABBOTT · (Male)

NPI # 1316474513
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2017
Last updated 05/18/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PS35741
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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