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Individual

DR. TRACY LEE HALME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2191 9TH AVE N STE 120, ST PETERSBURG, FL 33713-7147
(727) 954-6519
(727) 954-6524
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(132) 821-8068

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME80174
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME80174
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
258726200
FL
01
300128441
RR MCR
FL
Enumeration date
02/21/2006
Last updated
06/21/2023
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