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NPI Code Detail

MEDICARE: MRS. SARA TRACY RHODES M.D.

MEDICARE:  MRS. SARA TRACY RHODES  M.D.
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
1207R00000XInternal Medicine PhysicianME60716FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114498OTHERFLBLUE CROSS BLUE SHIELD
27677501OTHERFLAETNA

General Provider Information

NPI Number : 1780650242
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARA TRACY RHODES M.D.
Provider Business Mailing Address
First Line : 5474 LAKE HOWELL RD
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-1036
Country : US
Telephone Number : 407-679-3400
Fax Number : 407-679-3412
Provider Business Practice Location Address
First Line : 5474 LAKE HOWELL RD
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-1036
Country : US
Telephone Number : 407-679-3400
Fax Number : 407-679-3412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 11/03/2011

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Directions to “ MRS. SARA TRACY RHODES M.D.” Practice Location

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