NPI 1003121609

Tracy R. Ennis, PAC

Practitioner Dermatology Physician Naples, FL

Practice location

Address: 2235 Venetian Court Suite 1, Naples, FL 34109-8728
Phone: (239) 596-9337
Fax: (239) 596-9466

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence PA9108883 (FL)

Other Dermatology providers in Florida →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA 06798 (TX)

Other Physician Assistant providers in Florida →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9108883 (FL)

Registry record

NPI: 1003121609
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2010
Record last updated: 24 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.