Individual
WILLIAM TRACY MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN
Contact information
Practice address
5201 RAYMOND ST, ORLANDO VA MEDICAL CENTER, ORLANDO, FL 32803
(407) 599-1543
Mailing address
1237 KILLARNEY DR, ORMOND BEACH, FL 32174-2828
(386) 492-6024
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN1472152
FL
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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