Individual
TRACI GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 N US HIGHWAY 441, LADY LAKE, FL 32159-3194
(352) 205-7361
Mailing address
702 N US HIGHWAY 441, LADY LAKE, FL 32159-3194
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS3856
FLORIDA BOARD OF HEALTH
FL
Enumeration date
12/21/2017
Last updated
12/21/2017
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