TRACY L BURNEY MD PA
Medical Practice at Lake Mary Blvd, Lake Mary, FL

License number
Florida ME0070713
Category
Medical Practice
Type
Specialist
Owner
Name: DR. TRACY L BURNEY M.D
Title: OWNER
Phone: (407) 302-9595
Address
Address
3272 W Lake Mary Blvd, Lake Mary, FL 32746
National Provider ID: 1841462637
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TRACY L. BURNEY, M.D., PA

Lake Mary, FL  -  Melbourne, FL

Industry:
Medical Doctor's Office
Doing business as:
Tracy L Burney MD PA
Registration:
Apr 27, 1999
Addresses:
3272 W Lk Mary Blvd SUITE 1810, Lake Mary, FL 32746 (Physical)
Rockledge, FL 32956 (Mailing)
3300 W Lk Mary Blvd, Lake Mary, FL 32746
PO Box 5630365, Melbourne, FL 32956
1201 Kentshire Ct, Lake Mary, FL 32746
State ID:
P99000039520
Business type:
Florida Profit Corporation
President, Principal:
Tracy Lm.d. Burney (President, Principal), PO Box 5630365, Rockledge, FL 32956 (Physical)
Agent:
Wilson, Gregory,29 E Pne St, Orlando, FL 32801 (Physical)
EIN:
59-3612688

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