Individual
KADIA TRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4801 S CONGRESS AVE STE 400, PALM SPRINGS, FL 33461-4746
(561) 366-4100
(561) 439-2717
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11036403
FL
Other
Enumeration date
03/07/2025
Last updated
02/13/2026
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