Delucia, Tracey A.

Delucia, Tracey A. is an individual health care provider with primary practice located at 3003 W Dr Mlk Blvd Fl Jr3 , Tampa FL 33607-6307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, which is considered as her primary health care specialty. Delucia, Tracey A. can be contacted via phone (813) 554-8983.

Contact Information

Primary practice address
3003 W Dr Mlk Blvd Fl Jr3 Tampa FL 33607-6307
Phone: (813) 554-8983
Fax: (813) 443-8177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X ME121117 Florida

Profile Details

NPI number 1992844914
LBN Legal business name Delucia, Tracey A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Aug 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992844914 NPPES
Florida MEDICAID 013082800

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