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Latrice Anette Bracey

Physician β€’ Ocala, FL

Deactivated NPI 1427609783 Deactivated in NPPES Female Practitioner
Practice location in NPPES

830 Ne 28th St Apt 111
Ocala, FL 344703686

Phone: 3522083601

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of September 05, 2024; the reason is not published. The records below are historical. They do not show whether Latrice Bracey currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date September 26, 2019
NPI Deactivation Date September 05, 2024
NPI Active Period 2019 – 2024

Practice Location & Contact Primary Location

Practice Address

830 Ne 28th St Apt 111

Ocala, FL 344703686

Telephone 3522083601

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Ocala and Florida

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Clinic/Center - Dental Primary Specialty

NUCC Taxonomy Code: 261QD0000X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated September 05, 2024

NPPES lists this NPI as deactivated as of September 05, 2024; the reason is not published.

βœ…
NPI Profile Active September 26, 2019

NPI status registered as active in NPPES database

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Practice Location (Initial Record) September 26, 2019

Registered at 830 NE 28TH ST APT 111, OCALA, FL 344703686 (Tel: 3522083601)

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Business Mailing Address (Initial Record) September 26, 2019

Registered at 830 NE 28TH ST APT 830NE28, OCALA, FL 344703684 (Tel: 3522083601)

πŸ‘€
Provider Name / Credentials (Initial Record) September 26, 2019

Recorded as LATRICE BRACEY

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2019

Clinic/Center

🟒
Initial NPI Registration & Enumeration September 26, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1427609783
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2019
Last Update: September 26, 2019
Deactivation Date: September 05, 2024

Mailing Address

830 Ne 28th St Apt 830ne28

Ocala, FL 344703684

Phone: 3522083601

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.