Individual
DR. DEBORAH H TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11319 CORTEZ BLVD, BROOKSVILLE, FL 34613-5407
(352) 597-0907
(352) 597-2243
Mailing address
PO BOX 5719, SPRING HILL, FL 34611-5719
(352) 597-0907
(352) 597-2243
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME54724
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050035162
RRMC
—
05
—
062538800
—
FL
01
—
07882
BLUE CROSS
—
Enumeration date
10/10/2006
Last updated
02/27/2013
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