Provider Information for 1770087157
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
TRACI BABCOCK
Sex: Female
NPI: 1770087157
Last Updated: 2018-04-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1770087157 | ||||||||
| Enumeration Date | 2018-03-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 18966 DUQUESNE DR TAMPA, FL 33647-3423 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 2240 TWELVE OAKS WAY STE 101 WESLEY CHAPEL, FL 33544-6970 United States Phone: 941-920-0829 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|