Individual
MS. TRACEY ZAAKIRA MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BAS
Contact information
Practice address
1923 GREY FALCON CIR SW, VERO BEACH, FL 32962-8609
(772) 532-6289
(772) 675-1881
Mailing address
1923 GREY FALCON CIR SW, VERO BEACH, FL 32962-8609
(772) 532-6289
(772) 675-1881
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687088196
—
FL
05
—
687088198
—
FL
Enumeration date
07/14/2011
Last updated
07/14/2011
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