NPI 1063521839 · live from the CMS NPI Registry
Teresa C Tracy, AuD
Audiologist in Orlando, FL. National Provider Identifier 1063521839, active.
NPI record
| NPI | 1063521839 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1717 S Orange Ave, Suite 100, Orlando, FL 32806 |
| Practice phone | 407-650-7000 |
| Mailing address | Po Box 191, Provider Enrollment Dept, Rockland, DE 19732 |
| Enumerated | August 29, 2006 |
| Last updated | September 3, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | AY316 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.