TRACY ENNIS, PA-C

PA-C

Dermatology Physician

NPI: 1003121609IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant

Physician Assistant

Code: 363A00000X

PA 06798(TX)PA9108883(FL)

Dermatology PhysicianPrimary

Dermatology

Code: 207N00000X

PA9108883(FL)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2010

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Contact & Hours

Address: 2235 VENETIAN COURT, SUITE 1
NAPLES, FL 34109
Phone: (239) 596-9337

Quick Facts

NPI: 1003121609
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 3
Locations: 1
Years in Practice: 16

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