MEDICARE: TRACY LYNN WORLUND

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	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	2083A0300X	FL

General Provider Information

NPI Number	:	1487530010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY LYNN WORLUND

Provider Business Mailing Address
First Line	:	13253 MORNING SUN DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-3175
Country	:	US
Telephone Number	:	860-716-2016
Fax Number	:

Provider Business Practice Location Address
First Line	:	4427 EMERSON ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-4969
Country	:	US
Telephone Number	:	904-398-7015
Fax Number	:

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

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	08/11/2025

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Directions to “ TRACY LYNN WORLUND ” Practice Location

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