Tracey Ellison Taylor (NPI# 1902294804, PAC ID# 9032438742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1902294804 |
| PAC ID by PECOS | 9032438742 |
| Professional Enrollment ID | I20150430002115 |
| Full Name | Tracey Ellison Taylor |
| Organization Legal Name | COTLER HEALTHCARE AND DEVELOPMENT INC |
| Address |
5601 31st St S St Petersburg FL 33712-4605 |
| Phone Number | 5612497835 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 0143121145 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5601 31st St S, St Petersburg, FL 33712-4605 | 5612497835 | COTLER HEALTHCARE AND DEVELOPMENT INC |
| Organization Legal Name | COTLER HEALTHCARE AND DEVELOPMENT INC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa N Whorton | Clinical Social Worker | Cotler Healthcare and Development Inc | 5377 Moncrief Rd, Jacksonville, FL 32209-3159 |
| Beth C Boone | Psychologist, Clinical | Cotler Healthcare and Development Inc | 1059 Virginia St, Dunedin, FL 34698-7326 |
| Bhritanie E Jardine | Psychologist, Clinical | Cotler Healthcare and Development Inc | 9600 Lawrence Rd, Boynton Beach, FL 33436-3300 |
| Deborah A Duvall | Clinical Social Worker | Cotler Healthcare and Development Inc | 1445 Howell Ave, Brooksville, FL 34601-1502 |
| Minerva Melody King | Clinical Social Worker | Cotler Healthcare and Development Inc | 1500 Se Palm Beach Rd, Stuart, FL 34994-4044 |
| Jacob A Galles | Psychologist, Clinical | Cotler Healthcare and Development Inc | 1351 San Christopher Dr, Dunedin, FL 34698-5402 |
| Christine L Shephard | Clinical Social Worker | Cotler Healthcare and Development Inc | 85 Bulldog Blvd, Melbourne, FL 32901-3319 |
| Jada D Vaughan | Psychologist, Clinical | Cotler Healthcare and Development Inc | 1024 Willa Springs Dr, Winter Springs, FL 32708-5214 |
| Kellery L Kilgore | Psychologist, Clinical | Cotler Healthcare and Development Inc | 1329 Abraham St, Tallahassee, FL 32304-1907 |
| Evangelina Alonso | Psychologist, Clinical | Cotler Healthcare and Development Inc | 1990 S Canal Dr, Homestead, FL 33035-1046 |
| Street Address |
5601 31ST ST S |
| City | ST PETERSBURG |
| State | FL |
| Zip | 33712-4605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda D Renshaw | Nurse Practitioner | St. Joseph's Hospital, Inc. | 3050 1st Ave S, St Petersburg, FL 33712-1010 |
| Lillie S Bruton | Nurse Practitioner | St. Joseph's Hospital, Inc. | 3050 1st Ave S, St Petersburg, FL 33712-1010 |
| Phillip N Walker | Clinical Social Worker | 2126 1st Ave S, Saint Petersburg, FL 33712-1204 | |
| Natasha P Moore | Certified Registered Nurse Anesthetist (crna) | Sweet Dreams Anesthesia Inc | 2100 1st Ave S, St Petersburg, FL 33712-1212 |
| Sharon A Kane | Diagnostic Radiology | Gateway Radiology Consultants Pa | 2100 1st Ave S, St Petersburg, FL 33712-1212 |
| Deepak Das | Diagnostic Radiology | Gateway Radiology Consultants Pa | 2100 1st Ave S, St Petersburg, FL 33712-1212 |
| Mohammad Ha Qazi | Diagnostic Radiology | Gateway Radiology Consultants Pa | 2100 1st Ave S, St Petersburg, FL 33712-1212 |
| Stephen V. Veigh | Diagnostic Radiology | Gateway Radiology Consultants Pa | 2100 1st Ave S, St Petersburg, FL 33712-1212 |
| Edel Alvarez | General Practice | Access Health Care Physicians LLC | 2198 15th Ave S, Saint Petersburg, FL 33712-2708 |
| Shane Gaik | Nurse Practitioner | Community Health Center of Pinellas Inc | 1344 22nd St S, St Petersburg, FL 33712-2744 |
| Find all physicians in zip 33712 | |||
| City | ST PETERSBURG |
| Zip Code | 33712 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | ST PETERSBURG + PSYCHOLOGIST, CLINICAL |
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| 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.