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Contact Information

TRACEY R ADAMS, APRN
2200 FOWLER GROVE BLVD STE 140
WINTER GARDEN, FL34787-5597
 Phone: 407-614-0528
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TRACEY R ADAMS · (Female)

NPI # 1376882225
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 02/12/2013
Last updated 01/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # APRN11015650
  • KY License # 3008520
  • OH License # COA.14270-NP
  • KY Medicaid 7100238800
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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