Mark E Tracy M.D.

NPI 1043202203 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1043202203
Gender Male
Enumeration Date 08/15/2005
Last Updated 08/22/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
601 E ROLLINS ST
ORLANDO FL, 32803-1248, US
Phone (407) 303-2578
Fax
Business Location
2718 N ORANGE AVE
SUITE C
ORLANDO FL, 32804-7611, US
Phone (407) 303-2578
Fax
Toxanomy
Taxonomy Code 208100000X
License State Illinois
License Number 036-109303
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According to our database, Dr. Mark E Tracy M.D. NPI is 1043202203, taxonomy code is 208100000X and license number is 036-109303, license state is located at Illinois. Mark E Tracy M.D. physically located at 601 E Rollins St, Orlando FL, 32803-1248. NPI Number Mark E Tracy M.D. has the Individual type.

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1043202203 NPI number is provided on an as is basis without warranty of any kind. 1043202203 is maintained by the National Plan & Provider Enumeration System. The contents of Mark E Tracy M.D. are for informational purposes only.