Weiner, Tracy I

Weiner, Tracy I is an individual health care provider with primary practice located at 1055 Saxon Blvd , Orange City FL 32763-8468. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Weiner, Tracy I can be contacted via phone (386) 943-4522.

Contact Information

Primary practice address
1055 Saxon Blvd Orange City FL 32763-8468
Phone: (386) 943-4522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS7471 Florida

Profile Details

NPI number 1609895275
LBN Legal business name Weiner, Tracy I
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 10th, 2008 - about 16 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 1609895275 NPPES
Florida Other 57533 BLUE CROSS OF FLORIDA
Florida Other 1211350 BLUE CROSS OF FLORIDA

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