SearchFlorida376J00000X

Tracie Bass

NPI 1861958548 · on the registry since 2019 · sole proprietor

Practice

Address
1160 Mohawk St Apt 1
Jacksonville, FL 32205
Phone
(904) 444-5214

Registry record

Primary taxonomy
376J00000X
376J00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-18

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