Individual provider · Type 1 NPI

Tracy R. Ennis, PA-C

Dermatology Physician · Naples, FL

NPI number 1003121609 Active

Practice location

2235 Venetian Court, Suite 1
Naples, FL 34109-8728

Call (239) 596-9337 Map

Fax (239) 596-9466

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA 06798 (TX)
Physician Assistant 363A00000XPA9108883 (FL)
Dermatology Physician Primary 207N00000XPA9108883 (FL)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1003121609

Tracy R. Ennis, PA-C's National Provider Identifier is 1003121609, issued on Aug 9, 2010. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Naples, FL. The record was last updated on Apr 24, 2023.