TRACEY LANDRUM


Address: 300 International Pkwy, Lake Mary, FL 32746-5035
Phone: 4077325848

TRACEY LANDRUM (NPI# 1649502824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649502824
Entity Type Individual
Full Name TRACEY LANDRUM
Practice Address 300 International Pkwy
Lake Mary
FL 32746-5035
Mailing Address 37 Ocean Breeze Cir
Ormond Beach
FL 32176-2821
Practice Telephone 4077325848
Mailing Telephone 3862907553
Enumeration Date 2010-02-12
Last Update Date 2010-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor OTA10905 FL Other Service Providers

Office Location

Street Address 300 INTERNATIONAL PKWY
City LAKE MARY
State FL
Zip Code 32746-5035

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730795170 Nydia Rojas Behavior Technician 300 International Pkwy, Lake Mary, FL 32746-5035 2020-09-21
1093321507 Kimberly Claire Simpson Behavior Technician 300 International Pkwy, Lake Mary, FL 32746-5035 2020-09-20
1023626587 Betty Beatriz Hernandez Behavior Technician 300 International Pkwy, Lake Mary, FL 32746-5035 2020-07-20
1124645247 Nailla Saintyl Behavior Technician 300 International Pkwy, Lake Mary, FL 32746-5035 2020-07-06
1023644812 Chelsea Mccoy Behavior Technician 300 International Pkwy, Lake Mary, FL 32746-5035 2020-03-12
1275828097 Courtney Mitchell Occupational Therapist 300 International Pkwy, Ste 400, Lake Mary, FL 32746-5035 2011-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588286397 James Maggert Physical Therapist Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 2020-05-14
1225663743 Jamie Pecot Behavior Technician 300 International Parkway, 200, Lake Mary, FL 32746 2020-03-04
1619509585 Dental Associates of Heathrow, LLC Dentist Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 2020-02-10
1376185876 Rinehart Road Surgery Center, LLC Clinic/Center 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 2019-10-16
1871140988 Central Florida Wellness LLC General Practice 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 2019-08-22
1326609942 Antoine Slade I Behavior Technician 4876 Rhinehart Road, Lake Mary, FL 32746 2019-06-25
1245891209 Ohri, LLC Clinic/Center 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 2019-06-21
1336610856 Olivia Laurel Stolz Physician Assistant 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 2018-12-10
1881171072 Elite-star Medical Transport LLC. Non-emergency Medical Transport (VAN) 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 2018-07-20
1508351537 Ariagny Elena Fereira Speech-Language Pathologist 145 Middle Street Suite 1101, Lake Mary, FL 32746 2018-06-22
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699988303 Sonny Dominguez Gorospe Contractor 527 Alokee Ct, Lake Mary, FL 32746-2218 2007-05-08
1760637029 Susan Hedberg Contractor 250 International Pkwy, Lake Mary, FL 32746-5030 2008-11-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770183683 Ana Cecilia Fonseca Contractor 3456 Sw 112th Ave, Miami, FL 33165-3456 2020-10-29
1477151884 Joel Laurenceau Contractor 2561 Sw Grotto Cir, Port Saint Lucie, FL 34953-2927 2020-10-16
1649878208 Jill K Bailey Contractor 1809 E Broadway St Ste 147, Oviedo, FL 32765-8597 2020-10-15
1700484771 James Butler Contractor 7771 W Oakland Park Blvd Ste 105c, Sunrise, FL 33351-6749 2020-10-13
1407453277 Princess Laqa Callahan Contractor 2620 Nw 19th St, Ft Lauderdale, FL 33311-3324 2020-10-05
1154928158 Amy Benzenhafer Contractor 586 Woodlow Rd, Niceville, FL 32578-2108 2020-10-03
1083220297 Melissa Velez Contractor 104 Sw Peacock Blvd Apt 3-205, Port St Lucie, FL 34986-3467 2020-09-22
1023623626 Floridamed Health Network Contractor 1806 N Flamingo Rd Ste 220, Pembroke Pines, FL 33028-1030 2020-09-10
1700491677 Patrice Alicia Leys Contractor 2022 Nw 43rd Ter Apt 6, Lauderhill, FL 33313-4340 2020-09-09
1407468366 Platinum Choice Healthcare Contractor 1489 W Palmetto Park Rd Ste 512, Boca Raton, FL 33486-3326 2020-08-20
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Competitor

Search similar providers

City LAKE MARY
Zip Code 32746

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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