Roberts, Tracy J
Roberts, Tracy J is an individual health care provider with primary practice located at 5153 N 9Th Ave Pediatric Office Building, Pensacola FL 32504-8785. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is her primary health care specialty. Roberts, Tracy J can be contacted via phone (850) 416-1575.Contact Information
Primary practice address
5153 N 9Th Ave Pediatric Office Building
Pensacola FL 32504-8785
Phone: (850) 416-1575
Fax: (850) 416-1302
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | TRN6923 | Florida |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | ME104897 | Florida |
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | ME104897 | Florida |
Profile Details
NPI number | 1740341544 |
---|---|
LBN Legal business name | Roberts, Tracy J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2006 |
Last updated | Nov 20th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740341544 | NPPES |
Florida | MEDICAID | 001050400 |
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