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NPI Code Detail

MEDICARE: TRACY A. ZEIL RN

MEDICARE: TRACY A. ZEIL RN
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
1163W00000XRegistered Nurse9230664FL
2163W00000XRegistered Nurse072541CT

General Provider Information

NPI Number : 1417125196
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY A. ZEIL RN
Provider Business Mailing Address
First Line : 4591 PALM BROOKE CIR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-7528
Country : US
Telephone Number : 860-463-0453
Fax Number :
Provider Business Practice Location Address
First Line : 4591 PALM BROOKE CIR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-7528
Country : US
Telephone Number : 860-463-0453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2008
Last Update Date : 02/14/2008

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