TRACY SHIBLA

PALM COAST, FL
NPI1881132249
Former NameTRACY ELAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9336184)
Enumeration Date2017-02-06
Last Update Date2022-11-02
Business Address
TRACY SHIBLA APRN
37 OLD KINGS RD N
PALM COAST, FL 32137-8227
Phone number: 386-677-9044
Mailing Address
TRACY SHIBLA APRN
400 LAKEBRIDGE PLAZA DR
ORMOND BEACH, FL 32174-5157
Phone number: 386-677-9044
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