Provider Demographics
NPI:1851308175
Name:NORMAN, TRACEY A (DC)
Entity type:Individual
Prefix:DR
First Name:TRACEY
Middle Name:A
Last Name:NORMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12338 CADES BAY CIR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34211-1600
Mailing Address - Country:US
Mailing Address - Phone:941-226-4269
Mailing Address - Fax:
Practice Address - Street 1:2805 FRUITVILLE RD. SUITE 250
Practice Address - Street 2:#16
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237
Practice Address - Country:US
Practice Address - Phone:941-226-4269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3027111N00000X
FL15271111NN1001X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition