Tracy, Jerry J
Tracy, Jerry J is an individual health care provider with primary practice located at 308 S Harbor City Blvd Ste A , Melbourne FL 32901-1500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Tracy, Jerry J can be contacted via phone (321) 733-0064.Contact Information
Primary practice address
308 S Harbor City Blvd Ste A
Melbourne FL 32901-1500
Phone: (321) 733-0064
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ME154017 | Florida |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 35064726 | Ohio |
Profile Details
| NPI number | 1477506251 |
|---|---|
| LBN Legal business name | Tracy, Jerry J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | May 18th, 2022 - about 4 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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