NPI 1013489202

Tracy N Watford

Practitioner Personal Care Attendant Middleburg, FL

Practice location

Address: 2720 Anchor Rd, Middleburg, FL 32068-5600
Phone: (904) 704-6012

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X Licence 004319100 (FL)

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Registry record

NPI: 1013489202
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Dec 2018
Record last updated: 28 Dec 2018

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.