Individual
D. TRACY ANN SHERROD,
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
745 WATERLAND CT, ORLANDO, FL 32828-8116
(407) 207-6575
(407) 208-0202
Mailing address
745 WATERLAND CT, ORLANDO, FL 32828-8116
(407) 207-6575
(407) 208-0202
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
RN-3239622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
679400968
—
FL
05
—
679400996
—
FL
05
—
679400998
—
FL
Enumeration date
06/11/2008
Last updated
06/11/2008
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