TRACY I WEINER

ORANGE CITY, FL
NPI1609895275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: FL  OS7471)
Enumeration Date2006-07-18
Last Update Date2008-03-10
Business Address
-- TRACY I WEINER DO
1055 SAXON BLVD
ORANGE CITY, FL 32763-8468
Phone number: 386-943-4522
Mailing Address
-- TRACY I WEINER DO
PO BOX 9430
DAYTONA BEACH, FL 32120-9430
Phone number: