Search › Florida › 222Q00000X
Tracey Kock, ITDS
NPI 1558624312 · on the registry since 2012 · sole proprietor
Practice
- Address
- 21113 Lake Talia Blvd
Land O Lakes, FL 34638 - Phone
- (813) 873-1936
- Fax
- (813) 873-8837
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Also registered as
- 104100000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-18
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