| Doctor Name: | EDDICE TREMBLAY COMPANION |
| NPI Number: | 1023197506 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA9100679 |
| Business Practice Address: | 2111 Sw 20th Pl Ocala, FL - 344717734 |
| Business Phone Number: | 3526224251 |
| Business Fax Number: | 3526220102 |
| Mailing Address: | 2111 Sw 20th Pl, OCALA |
| State: | FL |
| Postal Code: | 344717734 |
| Phone Number: | 3526224251 |
| Fax Number: | 3526220102 |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 03/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA9100679 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |