Individual
DR. TRACEY A. DELUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3003 W DR MLK BLVD FL JR3, TAMPA, FL 33607-6307
(813) 554-8983
(813) 443-8177
Mailing address
3003 W DR MLK BLVD FL JR3, TAMPA, FL 33607-6307
(813) 554-8983
(813) 443-8177
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
ME121117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013082800
—
FL
Enumeration date
02/06/2007
Last updated
08/19/2022
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