Search › Florida › 171100000X
Tracy Kozak, AP
NPI 1154355121 · on the registry since 2006 · sole proprietor
Practice
- Address
- 260 Paseo Reyes Dr
St Augustine, FL 32095 - Phone
- (904) 806-3441
- Fax
- (904) 592-5370
- Organisation at this address
- Roots Of Discovery Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida