DR. DEREK D TRACY (NPI# 1841269156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841269156 |
| Entity Type | Individual |
| Full Name | DR. DEREK D TRACY |
| Credential | D.C. |
| Practice Address |
223 9th St Port St Joe FL 32456-1923 |
| Mailing Address |
223 9th St Port St. Joe FL 32456-1923 |
| Practice Telephone | 8502277222 |
| Mailing Telephone | 8502277222 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2016-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH 10351 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PROVIDER TRANSACTION ACESS NUMBER | GO776Z | 01 |
| Street Address |
223 9TH ST |
| City | PORT ST JOE |
| State | FL |
| Zip Code | 32456-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649721879 | Gulf County Chiropractic | Chiropractor | 223 9th St, Port St Joe, FL 32456-1923 | 2016-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609379825 | Melanie Q Larry | Case Manager/Care Coordinator | 212 W. Highway 98, Suite C Town Center Plaza, Port St. Joe, FL 32456 | 2018-03-14 |
| 1972029833 | Tem Medical | Internal Medicine | 220 9th Street, Port St Joe, FL 32456 | 2017-08-22 |
| 1770018731 | Gulf County Association for Retarded Citizens, Inc. | Non-emergency Medical Transport (VAN) | 122 Water Plant Road, Port St Joe, FL 32456 | 2017-04-27 |
| 1477815488 | Patricia J Mitchell | Nurse Practitioner | 256 Canal Street, Port Saint Joe, FL 32456 | 2012-06-14 |
| 1407135296 | Chrystal R Cox | Occupational Therapist | 6801 Us Highway 98, Port St. Joe, FL 32456 | 2011-08-10 |
| 1467662957 | William Rex Buzzett | Pharmacist | 302 Cecil G Costin Blvd, Port St Joe, FL 32456 | 2007-05-23 |
| 1831293802 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 110 Hwy 98, Port Saint Joe, FL 32456 | 2006-09-12 |
| 1427160571 | Shoreline Medical Group, P.a. | Internal Medicine | 419 Baltzell Ave, Port St Joe, FL 32456 | 2006-08-31 |
| 1851403992 | Elizabeth F Curry | Pediatrics | 3871 E Highway 98 Ste 201, Port St Joe, FL 32456 | 2006-08-31 |
| 1891715702 | Champion Medical Equipment Rental &sales LLC | Durable Medical Equipment & Medical Supplies | 324 Long Ave Port St, Joe, FL 32456 | 2006-07-20 |
| Find all providers in zip 32456 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649721879 | Gulf County Chiropractic | Chiropractor | 223 9th St, Port St Joe, FL 32456-1923 | 2016-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659366 | Mcclure Family and Sports | Chiropractor | 5420 Land O Lakes Blvd Ste 105, Land O Lakes, FL 34639-3401 | 2020-11-06 |
| 1922609379 | Parker Elizabeth Lee | Chiropractor | 196 37th Ave N, Saint Petersburg, FL 33704-1414 | 2020-11-03 |
| 1356942940 | Michelle George | Chiropractor | 840 N Cocoa Blvd Ste A, Cocoa, FL 32922-7590 | 2020-11-02 |
| 1124629647 | Travis Edward Kerner | Chiropractor | 18505 Nw 75th Pl Ste 117, Hialeah, FL 33015-2961 | 2020-11-02 |
| 1720688641 | Desiree Bethel | Chiropractor | 551 Ne 174th St, North Miami Beach, FL 33162-1945 | 2020-10-29 |
| 1255931010 | Spinewell Inc | Chiropractor | 650 Central Ave Ste 3, Sarasota, FL 34236-4090 | 2020-10-29 |
| 1982203543 | William Jesse Naftel | Chiropractor | 981 Highway 98 E Ste 9, Destin, FL 32541-2588 | 2020-10-23 |
| 1679172548 | Jacksonville Chiropractic Rehab and Wellness Center | Chiropractor | 7908 Blanding Boulevard, Suite #4, Jacksonville, FL 32244-7564 | 2020-10-22 |
| 1588263560 | Chiropractic Spine and Injury Pa | Chiropractor | 158 Tuskawilla Rd Ste 1308, Winter Springs, FL 32708-2805 | 2020-10-21 |
| 1588263867 | Orchid Island Chiropractic, LLC | Chiropractor | 9613 N Us Highway 1, Sebastian, FL 32958-6363 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST JOE |
| Zip Code | 32456 |
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| 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.