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Individual

DR. TRACY L BURNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1026 PATHFINDER WAY, ROCKLEDGE, FL 32955-3216
(321) 631-2070
(321) 631-6489
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-4600
(321) 951-7408

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME0070713
FL
208800000X
Urology Physician
Primary
ME70713
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251101100
FL
01
31225U
MEDICARE
FL
Enumeration date
09/27/2006
Last updated
05/01/2018
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