| Mrs Tracy Ann Antoneth Spence, APRN, PMHNP | |
| 
					4546 N Federal Hwy, Fort Lauderdale, FL 33308-5204  | |
| (954) 716-6514 | |
| (954) 564-1371 | 
| Full Name | Mrs Tracy Ann Antoneth Spence | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 4546 N Federal Hwy, Fort Lauderdale, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952008757 | NPI | - | NPPES | 
| APRN11023811 | Other | FL | STATE LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9366980 (Florida) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11023811 (Florida) | Primary | 
| Entity Name | Theracounsel, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457460339 PECOS PAC ID: 0143206466 Enrollment ID: O20040628000603  | 
| Entity Name | Grow Healthcare Group Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Tracy Ann Antoneth Spence, APRN, PMHNP 4546 N Federal Hwy, Fort Lauderdale, FL 33308-5204 Ph: (954) 716-6514  | Mrs Tracy Ann Antoneth Spence, APRN, PMHNP 4546 N Federal Hwy, Fort Lauderdale, FL 33308-5204 Ph: (954) 716-6514  | 
Jessica Francois, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Nw 31st Ave, Fort Lauderdale, FL 33311 Phone: 954-467-4700  | |
Nicole K Rodolpho, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6000 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-771-2551 Fax: 954-492-3830  | |
Roberto Santamaria, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 W Broward Blvd, Fort Lauderdale, FL 33312 Phone: 954-463-7313 Fax: 954-527-6003  | |
Mrs. Stacy Ann Krause, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4725 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-771-8000  | |
Melissa Shaffer, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4943 N Harbor Isles Dr, Fort Lauderdale, FL 33312 Phone: 954-625-5966  | |
Mrs. Holly Hirnyk, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4725 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 614-679-7841  | |
Kelly Melissa Roland, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 S Andrews Ave Fl 3, Fort Lauderdale, FL 33316 Phone: 954-763-6655 Fax: 954-763-6799  |