TRACEY BLEAU, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1215023775
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA 910322 (FL) |
Frequently Asked Questions
NPI 1215023775 is the National Provider Identifier for TRACEY BLEAU, PA-C, a Physician Assistant - Medical provider located in Orange Park, FL. This NPI was enumerated on October 4, 2006.
TRACEY BLEAU, PA-C practices at 2021 KINGSLEY AVE, SUITE 101, Orange Park, FL 32073.
Quick Facts
- NPI
- 1215023775
- Type
- Individual
- Enumerated
- Oct 4, 2006
- Last Updated
- Jul 20, 2010
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