Individual
DR. TRACY L BURNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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