Tracy, Mark E

Tracy, Mark E is an individual health care provider with primary practice located at 601 E Rollins St , Orlando FL 32803-1248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Tracy, Mark E can be contacted via phone (407) 303-2578.

Contact Information

Primary practice address
601 E Rollins St Orlando FL 32803-1248
Phone: (407) 303-2578
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-109303 Illinois
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME113742 Florida

Profile Details

NPI number 1043202203
LBN Legal business name Tracy, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Aug 22nd, 2012 - about 12 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 1043202203 NPPES
Illinois MEDICAID 036-109303-1

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