Provider Demographics
NPI:1225599806
Name:TOPACIO, TRACEY KAREN (DO)
Entity Type:Individual
Prefix:
First Name:TRACEY KAREN
Middle Name:
Last Name:TOPACIO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:FLORIDA ATLANTIC UNIVERSITY MEDICINE AT BOCA RATON
Mailing Address - Street 2:670 GLADES ROAD, SUITE 400
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431
Mailing Address - Country:US
Mailing Address - Phone:561-955-2570
Mailing Address - Fax:561-955-2572
Practice Address - Street 1:FLORIDA ATLANTIC UNIVERSITY MEDICINE AT BOCA RATON
Practice Address - Street 2:670 GLADES ROAD, SUITE 400
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431
Practice Address - Country:US
Practice Address - Phone:561-955-2570
Practice Address - Fax:561-955-2572
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC87818207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine