Individual
DR. TRACY B RAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
502 E. NEW HAVEN AVE, MELBOURNE, FL 32901-5427
(321) 727-2020
(321) 984-9547
Mailing address
502 E. NEW HAVEN AVE, MELBOURNE, FL 32901-5427
(321) 727-2020
(321) 984-9547
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME87807
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2399211001
CIGNA
FL
05
—
268107200
—
FL
01
—
3216506
AETNA HMO
FL
01
—
71201
BLUE CROSS / BLUE SHIELD
FL
01
—
7261494
AETNA PPO
FL
01
—
P00077310
RAILROAD MEDICARE
FL
Enumeration date
05/10/2006
Last updated
03/23/2023
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