Individual
TRACEY E CERBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1651 SE TIFFANY AVE, STE 102, PORT ST LUCIE, FL 34952-7564
(772) 398-1824
(772) 335-2422
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-5665
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME59501
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256229400
—
FL
Enumeration date
07/18/2006
Last updated
02/24/2012
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