Ravin, Tracy B

Ravin, Tracy B is an individual health care provider with primary practice located at 502 E. New Haven Ave , Melbourne FL 32901-5427. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Ravin, Tracy B can be contacted via phone (321) 727-2020.

Contact Information

Primary practice address
502 E. New Haven Ave Melbourne FL 32901-5427
Phone: (321) 727-2020
Fax: (321) 984-9547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME87807 Florida

Profile Details

NPI number 1801846027
LBN Legal business name Ravin, Tracy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 23rd, 2023 - about 3 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 1801846027 NPPES
Florida Other 3216506 AETNA HMO
Florida MEDICAID 268107200 AETNA HMO
Florida Other 7261494 AETNA HMO
Florida Other 2399211001 AETNA HMO
Florida Other 71201 AETNA HMO
Florida Other P00077310 AETNA HMO

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