Individual
MR. MARK S TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3028 CARING WAY, STE 9, PORT CHARLOTTE, FL 33952-5300
(941) 627-6366
(941) 627-6677
Mailing address
3028 CARING WAY, STE 9, PORT CHARLOTTE, FL 33952-5300
(941) 627-6366
(941) 627-6677
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1878
FL
Other
Enumeration date
07/11/2006
Last updated
07/28/2010
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