MEDICARE: MONICA RENEE TRAMEL PHLEBOTOMIST

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
1	247000000X	Health Information Technician
2	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1386468734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA RENEE TRAMEL PHLEBOTOMIST

Provider Business Mailing Address
First Line	:	3117 SPRING GLEN RD STE 402
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-5906
Country	:	US
Telephone Number	:	904-977-5770
Fax Number	:	904-512-5352

Provider Business Practice Location Address
First Line	:	3117 SPRING GLEN RD STE 402
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-5906
Country	:	US
Telephone Number	:	904-977-5770
Fax Number	:	904-512-5253

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2024
Last Update Date	:	12/26/2024

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Directions to “ MONICA RENEE TRAMEL PHLEBOTOMIST” Practice Location

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