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Individual

TRACY OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
11505 PALMBRUSH TRL STE 200, LAKEWOOD RANCH, FL 34202
(941) 361-1100
(941) 361-1103
Mailing address
11505 PALMBRUSH TRL STE 200, LAKEWOOD RANCH, FL 34202-2915
(941) 361-1100
(941) 361-1103

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109407
FL

Other

Enumeration date
03/28/2016
Last updated
05/14/2018
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