Individual provider · NPI-1

Tracey E Cerbone, M.D.

Psychiatry & Neurology, Neurology · Port St Lucie, FL

NPI number1376562918

StatusActive

Last updated in NPPESFeb 24, 2012

Details

NPI: 1376562918
Entity type: Individual (NPI-1)
Name: Tracey E Cerbone
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Jul 18, 2006
Last updated: Feb 24, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084N0400X	Psychiatry & Neurology, Neurology	ME59501	FL	Yes

Practice location

1651 Se Tiffany Ave
Ste 102
Port St Lucie, FL 34952-7564

Phone 772-398-1824 · Fax 772-335-2422

Mailing address

Po Box 417
Stuart, FL 34995-0417

Phone 772-223-5665 · Fax 772-223-5646

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