Individual
MRS. TRACY LEE EILERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
200 AVENUE F NE STE 9118, WINTER HAVEN, FL 33881-4131
(863) 297-1777
(863) 297-1756
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9234028
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019014600
—
FL
Enumeration date
08/18/2016
Last updated
03/02/2021
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