# GEORGE G TRACY MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982049995
- **Authorized official:** DR. GEORGE G TRACY MD (OWNER)
- **Authorized official phone:** (850) 747-6950

## Contact information

- **Practice address:** 2401 STANFORD RD APT 224, PANAMA CITY, FL 32405-3573
- **Practice address phone:** (850) 747-6950
- **Practice address fax:** (850) 747-6208
- **Mailing address:** 2401 STANFORD RD APT 224, PANAMA CITY, FL 32405-3573
- **Mailing address phone:** (850) 747-6950
- **Mailing address fax:** (850) 747-6208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | ME45073 | FL | — |
| 207PE0005X | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | ME45073 | FL | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | ME45073 | FL | Yes |

## Other

- **Enumeration date:** 05/03/2013
- **Last updated:** 05/03/2013