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Individual

DR. TRACY BRIAN GAPIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 SOUTH SCHOOL AVE, SUITE 200, SARASOTA, FL 34237
(941) 309-7000
(941) 309-7007
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME80700
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05649
UNIVERSAL
FL
01
1193044
WELLCARE
FL
01
1713664
CIGNA
FL
01
297286
AVMED
FL
01
7929560
AETNA
FL
01
P01051885
RAILROAD MCR
FL
01
P01809513
CLEAR HEALTH
FL
01
P104603
FREEDOM HEALTH
FL
01
P512596
OPTIMUM
FL
01
QMP000005266261
MOLINA
FL
Enumeration date
10/06/2006
Last updated
04/18/2017
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