Healthcare Provider Details

I. General information

NPI: 1851308175
Provider Name (Legal Business Name): TRACEY A NORMAN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2805 FRUITVILLE RD. SUITE 250 #16
SARASOTA FL
34237
US

IV. Provider business mailing address

12338 CADES BAY CIR
LAKEWOOD RANCH FL
34211-1600
US

V. Phone/Fax

Practice location:
  • Phone: 941-226-4269
  • Fax:
Mailing address:
  • Phone: 941-226-4269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3027
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number15271
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15271
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: