Fansler Md Llc, Tracy S

Fansler Md Llc, Tracy S is an sole proprietor health care provider with primary practice located at 11200 Seminole Blvd Ste 203 , Seminole FL 33778-3239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Fansler Md Llc, Tracy S can be contacted via phone (727) 306-2525.

Contact Information

Primary practice address
11200 Seminole Blvd Ste 203 Seminole FL 33778-3239
Phone: (727) 306-2525
Fax: (727) 202-8196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME68721 Florida

Profile Details

NPI number 1164572806
LBN Legal business name Fansler Md Llc, Tracy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Mar 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164572806 NPPES
Florida MEDICAID 261667000

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