Tracey N. Blackwood LPN

NPI 1992896989 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1992896989
Gender Female
Enumeration Date 09/27/2006
Last Updated 05/24/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
220 SW 2ND ST
POMPANO BEACH FL, 33060-4611, US
Phone (954) 941-9828
Fax (954) 941-9808
Business Location
11031 NE 6TH AVE
MIAMI FL, 33161-7182, US
Phone (305) 398-6100
Fax (305) 757-4465
Toxanomy
Taxonomy Code 164W00000X
License State Florida
License Number PN1354071
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According to our database, Tracey N. Blackwood LPN NPI is 1992896989, taxonomy code is 164W00000X and license number is PN1354071, license state is located at Florida. Tracey N. Blackwood LPN physically located at 220 Sw 2nd St, Pompano Beach FL, 33060-4611. NPI Number Tracey N. Blackwood LPN has the Individual type.

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1992896989 NPI number is provided on an as is basis without warranty of any kind. 1992896989 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey N. Blackwood LPN are for informational purposes only.