Most Relevant Information
Provider Data
| NPI Number: | 1003828351 |
| Provider Name: | TRACIE L PATEL PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA9102082 |
Most Important Dates
| Enumeration Date: | 08/13/2006 |
| Last Updated: | 08/16/2022 |
Provider Practice Location
10740 PALM RIVER RD STE 360
TAMPA
FL
336194578
Practice Location Phone/Fax
| Phone: | 8138447585 |
| Fax: | 8138445877 |
Provider Mailing Location
PO BOX 1289
TAMPA
FL
336011289
Provider Mailing Phone/Fax
| Phone: | 8138448927 |
| Fax: |