Organization
TRACERALLEN MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK TOMASSI (MANAGER/ OWNER)
(407) 492-4597
Entity
Organization
Contact information
Practice address
4226 ISLE VISTA AVE, BELLE ISLE, FL 32812-2224
(407) 492-4597
Mailing address
4226 ISLE VISTA AVE, BELLE ISLE, FL 32812-2224
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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