Tracey Amanda Bleau, PA-C
NPI #1215023775 in Orange Park, Florida
Provider Information
- NPI Number
- 1215023775
- Entity Type
- Individual
- Name
- Tracey Amanda Bleau, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Jul 20, 2010
Practice Location
- Address
- 2021 KINGSLEY AVE
- Address 2
- SUITE 101
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073-5174
- Phone
- (904) 298-2113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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