Individual provider · Type 1 NPI
Tracy M. Creel, PA-C
Medical Physician Assistant · Wildwood, FL
NPI number
1871575324
Active
Practice location
411 Webster St
Wildwood, FL 34785-4036
Fax (352) 748-6381
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA064 (MS) |
| Medical Physician Assistant | 363AM0700X | PA9103034 (FL) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1871575324
Tracy M. Creel, PA-C's National Provider Identifier is 1871575324, issued on Nov 18, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wildwood, FL. The record was last updated on Mar 21, 2011.