Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Traci Celeste Diphillippo, PA-C

Individual provider Physician Assistant · NPI 1841543063

Traci Celeste Diphillippo, PA-C is a Physician Assistant in Hollywood, Florida. Qualified in 2000, 26 years ago. Practices with Woodruff Institute LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
26
Licensed in
FL
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4060 Sheridan St Ste C
Hollywood, FL 33021-3559
Phone: (954) 987-7512
Fax: (954) 987-3977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9107681 (FL)

Record details

NPI number1841543063
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 25, 2012
Last updated in NPPESMay 9, 2025
Certification dateJune 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Woodruff Institute Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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