Individual
DR. TRACY C MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13417 US HIGHWAY 301, SUITE B, DADE CITY, FL 33525-5446
(352) 521-3967
(813) 355-5024
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS8256
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263795200
—
FL
01
—
P00430975
RR MEDICARE
FL
Enumeration date
07/07/2006
Last updated
08/30/2021
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