Organization
ADVANTAGE PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY L RIDDLE APRN, DNP, FNP-BC (OWNER/PRACTITIONER)
(352) 484-0422
Entity
Organization
Contact information
Practice address
20212 E PENNSYLVANIA AVE STE B, DUNNELLON, FL 34432-6032
(352) 484-0422
(352) 484-1430
Mailing address
20212 E PENNSYLVANIA AVE STE B, DUNNELLON, FL 34432-6032
(352) 484-0422
(352) 484-1430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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