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NPI Code Detail

MEDICARE: MS. TRACY LEE HOEY PA-C

MEDICARE: MS. TRACY LEE HOEY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant1839CO
2363A00000XPhysician AssistantPA9119134FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1024572OTHERCOKAISER COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457421182
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRACY LEE HOEY PA-C
Provider Business Mailing Address
First Line : PO BOX 748817
Second Line :
City : ATLANTA
State : GA
Zip : 30374-8817
Country : US
Telephone Number : 303-338-4545
Fax Number : 813-282-1806
Provider Business Practice Location Address
First Line : 5985 SILVER FALLS RUN STE 100
Second Line :
City : BRADENTON
State : FL
Zip : 34211-1291
Country : US
Telephone Number : 941-202-2055
Fax Number : 888-571-5463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2006
Last Update Date : 09/04/2024

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Directions to “ MS. TRACY LEE HOEY PA-C” Practice Location

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