Individual
DR. TRACEY IRENE MACCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
20078 SW MATERA WAY, PORT ST LUCIE, FL 34986-1736
(908) 910-1340
Mailing address
20078 SW MATERA WAY, PORT ST LUCIE, FL 34986-1736
(908) 910-1340
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
03/25/2026
Last updated
05/05/2026
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