Individual
DR. TRACEY CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-8015
(239) 624-8101
Mailing address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-8015
(239) 624-8101
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME120699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013403900
—
FL
01
—
14XW5
BCBS
FL
01
—
HY955Y
MEDICARE
FL
Enumeration date
06/16/2011
Last updated
08/10/2017
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