MEDICARE: DR. TRACY VO DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	OS7553	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	49598	OTHER	FL	FLORIDA BLUE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598708430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRACY VO DO

Provider Business Mailing Address
First Line	:	12730 NEW BRITTANY BLVD STE 602
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-4690
Country	:	US
Telephone Number	:	239-275-5522
Fax Number	:	239-275-4464

Provider Business Practice Location Address
First Line	:	1708 CAPE CORAL PKWY W STE 2
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-6985
Country	:	US
Telephone Number	:	239-945-5940
Fax Number	:	239-945-5941

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	12/13/2024

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Directions to “ DR. TRACY VO DO” Practice Location

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