Whalio Doctors

NPI 1043202203

Mark E Tracy, MD

Practitioner Physical Medicine & Rehabilitation Physician Orlando, FL

Practice location

Address
601 E Rollins St, Orlando, FL 32803-1248
Phone
(407) 303-2578
Mailing address
2718 N Orange Ave Suite C, Orlando, FL 32804-7611

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence ME113742 (FL)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 036-109303 (IL)

Registry record

NPI
1043202203
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Aug 2005
Record last updated
22 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.