NPI 1063521839

Teresa C Tracy, AUD

Practitioner Audiologist Orlando, FL

Practice location

Address: 1717 S Orange Ave Suite 100, Orlando, FL 32806-2944
Phone: (407) 650-7000
Fax: (407) 650-7124
Mailing address: PO Box 191 Provider Enrollment Dept, Rockland, DE 19732-0191

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence AY316 (FL)

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Registry record

NPI: 1063521839
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2006
Record last updated: 3 Sep 2011

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.