O'Connor, Tracey Lynn

O'Connor, Tracey Lynn is an individual health care provider with primary practice located at 12902 Usf Magnolia Dr , Tampa FL 33612-9416. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. O'Connor, Tracey Lynn can be contacted via phone (813) 745-8000.

Contact Information

Primary practice address
12902 Usf Magnolia Dr Tampa FL 33612-9416
Phone: (813) 745-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 215895 New York
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME163139 Florida

Profile Details

NPI number 1043201411
LBN Legal business name O'Connor, Tracey Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Sep 7th, 2023 - about last year

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 1043201411 NPPES
New York MEDICAID 02315864

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