Tracerallen Medical

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

TRACERALLEN MEDICAL

Practice address

4226 Isle Vista Ave
Belle Isle, FL 32812-2224

Phone

(407) 492-4597

NPI assigned

Apr 16, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick Tomassi

Title

Manager/ Owner

Phone

(407) 492-4597

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1447693783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 ISLE VISTA AVE",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328122224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 ISLE VISTA AVE",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328122224",
            "telephone_number": "407-492-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACERALLEN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "TOMASSI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGER/ OWNER",
        "authorized_official_telephone_number": "407-492-4597"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie Eugene Suggs, DPM
• Swan at Lake Conway
• Swan at Lake Conway Alf
• The Recovery Corner
• Time to Talk Therapy Services LLC
• Kay T Vien, O.D.
• Kristy L. Warren, MSN-ED,RN
• Jessica Ann Wilderman

• Customized Equipment (DME) in Belle Isle, FL
• Providers in Belle Isle, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.