Individual
DR. TRACY G. SANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 COLUMBIA DR, TAMPA, FL 33606-3508
(813) 844-7000
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
113032
MT
207P00000X
Emergency Medicine Physician
12948102-1205
UT
207P00000X
Emergency Medicine Physician
M-16690
ID
207P00000X
Emergency Medicine Physician
Primary
ME68990
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27616
BLUE SHIELD OF FL
FL
05
—
378792300
—
FL
Enumeration date
06/25/2006
Last updated
10/18/2022
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