Individual
VICKI L TRAXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1660 MEDICAL BLVD STE 100, NAPLES, FL 34110-1415
(239) 566-3000
Mailing address
1660 MEDICAL BLVD STE 300, NAPLES, FL 34110-1497
(239) 513-0053
(239) 596-0900
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
PA1592
FL
363AM0700X
Medical Physician Assistant
Primary
PA1592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291598700
—
FL
Enumeration date
08/03/2006
Last updated
12/07/2023
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