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Tracy Smith

Technician, Personal Care Attendant in Davie, FL. Individual provider (NPI-1).

NPI number1114280971
StatusActive
Last updated in NPPESJun 18, 2012

Details

NPI
1114280971
Entity type
Individual (NPI-1)
Name
Tracy Smith
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2012
Last updated
Jun 18, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

12401 Orange Dr
Suite 219
Davie, FL 33330-4341

Phone 954-862-1707

Mailing address

8921 Nw 78th St
Apt. 226
Tamarac, FL 33321-1473

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Personal Care Attendant providers in Davie, FL

All 362 Personal Care Attendant providers in Davie · All 5,099 providers in Davie

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