Provider Demographics
NPI:1235319278
Name:TRACYE L ZLOBL MD PA
Entity Type:Organization
Organization Name:TRACYE L ZLOBL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACYE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ZLOBL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-262-3100
Mailing Address - Street 1:6610 WILLOW PARK DR
Mailing Address - Street 2:STE 102
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109
Mailing Address - Country:US
Mailing Address - Phone:239-262-3100
Mailing Address - Fax:239-262-3101
Practice Address - Street 1:6610 WILLOW PARK DR
Practice Address - Street 2:STE 102
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109
Practice Address - Country:US
Practice Address - Phone:239-262-3100
Practice Address - Fax:239-262-3101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90230207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty