Tracy L Riddle (NPI# 1083890271, PAC ID# 3476850876) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083890271 |
| PAC ID by PECOS | 3476850876 |
| Professional Enrollment ID | I20160330001674 |
| Full Name | Tracy L Riddle |
| Organization Legal Name | ADVANTAGE PRIMARY CARE PLLC |
| Address |
20212 E Pennsylvania Ave Unit B Dunnellon FL 34432-6171 |
| Phone Number | 3524840422 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759628217 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 20212 E Pennsylvania Ave, Unit B, Dunnellon, FL 34432-6171 | 3524840422 | ADVANTAGE PRIMARY CARE PLLC |
| Organization Legal Name | ADVANTAGE PRIMARY CARE PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley A Ice | Family Medicine | Advantage Primary Care Pllc | 20212 E Pennsylvania Ave, Unit B, Dunnellon, FL 34432-6171 |
| Street Address |
20212 E PENNSYLVANIA AVE UNIT B |
| City | DUNNELLON |
| State | FL |
| Zip | 34432-6171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel E Rieck | Chiropractic | 20212 E Pennsylvania Ave, Dunnellon, FL 34432-6032 | |
| Shirley A Ice | Family Medicine | Advantage Primary Care Pllc | 20212 E Pennsylvania Ave, Unit B, Dunnellon, FL 34432-6171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karla Jean Joviak | Family Medicine | Inpatient Consultants of Florida, Inc | 12980 Swhighway, Suite 484, Dunnellon, FL 34432 |
| Aneta Tarasiuk-rusek | Infectious Disease | Inpatient Consultants of Florida, Inc | 12980 Swhighway, Suite 484, Dunnellon, FL 34432 |
| Desiree Lerro | Diagnostic Radiology | Gainesville Imaging Associates PC | 13260 Sw 97th Pl, Dunnellon, FL 34432-3909 |
| Rajendra Bellam | Internal Medicine | West Florida Medical Associates P A | 20021 Sw 111th Pl, Dunnellon, FL 34432-4786 |
| Gary Helfin | Family Medicine | 10461 Sw Hwy 484, Dunnellon, FL 34432-5741 | |
| Sukumaran R Ramaswami | Internal Medicine | 10461 Sw Hwy 484, Dunnellon, FL 34432-5741 | |
| Ulhas Tarikere Deven | Internal Medicine | West Florida Medical Associates P A | 11707 N Williams St, Dunnellon, FL 34432-5855 |
| Lisa Nicole Gascay | Qualified Audiologist | 20170 E Pennsylvania Ave, Dunnellon, FL 34432-6032 | |
| Cheryl Monica Stanley | Chiropractic | Cheryl M. Stanley and Lauri M. Stanley, Pa | 20079 E Pennsylvania Ave, Dunnellon, FL 34432-6037 |
| Nikhil K Shah | General Practice | 20281 E Pennsylvania Ave, Dunnellon, FL 34432-6037 | |
| Find all physicians in zip 34432 | |||
| City | DUNNELLON |
| Zip Code | 34432 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DUNNELLON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tracy L Riddle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.