Individual
DR. TRACEY R BURTON-LINDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 W COLLEGE BLVD, SUITE C, NICEVILLE, FL 32578
(850) 678-9009
(850) 678-9009
Mailing address
1001 COLLEGE BLVD W STE C, NICEVILLE, FL 32578-1049
(850) 678-9009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0060775
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25242
BLUE SHIELD
—
05
—
375291700
—
FL
Enumeration date
01/24/2006
Last updated
05/11/2018
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