NPI | 1417834110 |
---|---|
Other Name | DOCTOR TRACIS HOUSE |
Entity Type | Organization |
Authorized Contact | TRACI THOMPSON CEO 813-501-7796 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 251V00000X Voluntary or Charitable |
261QH0100X Clinic/Center, Health Services | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2025-08-18 |
Last Update Date | 2025-08-18 |