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NPI Code Detail

MEDICARE: MS. TRACEY DANIELLE MCFARLANE P.T.

MEDICARE: MS. TRACEY DANIELLE MCFARLANE P.T.
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
1225100000XPhysical TherapistPT20419FL

General Provider Information

NPI Number : 1568680502
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRACEY DANIELLE MCFARLANE P.T.
Provider Business Mailing Address
First Line : 100 E 2ND AVE STE 210
Second Line :
City : ROME
State : GA
Zip : 30161-1718
Country : US
Telephone Number : 727-281-8940
Fax Number : 727-281-8943
Provider Business Practice Location Address
First Line : 1345 W BAY DR STE 403
Second Line :
City : LARGO
State : FL
Zip : 33770-2264
Country : US
Telephone Number : 727-281-8940
Fax Number : 727-281-8943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 11/21/2023

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