MEDICARE: TRACY LEIGH MARTIN 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
1	208000000X	Pediatrics Physician	ME 75315	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982620803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY LEIGH MARTIN M.D.

Provider Business Mailing Address
First Line	:	4033 TAMPA RD
Second Line	:	SUITE 101
City	:	OLDSMAR
State	:	FL
Zip	:	34677-3224
Country	:	US
Telephone Number	:	813-854-2003
Fax Number	:	813-855-2367

Provider Business Practice Location Address
First Line	:	5621 SKYTOP DRIVE
Second Line	:
City	:	LITHIA
State	:	FL
Zip	:	33547-4165
Country	:	US
Telephone Number	:	813-571-6800
Fax Number	:	813-654-9939

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	06/10/2021

Similar Medicare Providers

1043212483 — MS. EMILY ANN OSTROWSKI M.D.
Practice Location Address:

5617 SKYTOP DR
LITHIA, FL
33547-4165

Practice Phone: 813-530-4585
Practice Fax: 813-605-6053

1497733091 — DR. LANCE DAVID REAL D.O.
Practice Location Address:

5617 SKYTOP DR
LITHIA, FL
33547-4165

Practice Phone: 813-530-4585
Practice Fax: 813-605-6053

1942276449 — LISA MARIE ROMAN MD
Practice Location Address:

5621 SKYTOP DRIVE
LITHIA, FL
33547-4165

Practice Phone: 813-571-6800
Practice Fax: 813-654-9939

1932125853 — CHRISTOPHER L TAPPAN MD
Practice Location Address:

5621 SKYTOP DRIVE
LITHIA, FL
33547-4165

Practice Phone: 813-571-6800
Practice Fax: 813-855-2367

1336399765 — DR. MONICA RIVERA-AMILL MD
Practice Location Address:

5617 SKYTOP DR
LITHIA, FL
33547-4165

Practice Phone: 813-530-4585
Practice Fax: 813-605-6053

1730486762 — PEDIATRIC HEALTH CARE ALLIANCE, PA
Practice Location Address:

5621 SKYTOP DR
LITHIA, FL
33547-4165

Practice Phone: 813-571-6800
Practice Fax: 813-654-9939

Directions to “ TRACY LEIGH MARTIN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.