Individual
TRACEY A PETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3730 PAIGE ST, PORT ORANGE, FL 32129-4222
(352) 431-1999
Mailing address
3730 PAIGE ST, PORT ORANGE, FL 32129-4222
(352) 431-1999
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Enumeration date
08/06/2015
Last updated
03/17/2018
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