Provider Demographics
NPI:1902985955
Name:BALINT, TRACY L
Entity Type:Individual
Prefix:MS
First Name:TRACY
Middle Name:L
Last Name:BALINT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8210 VIA BELLA ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-9752
Mailing Address - Country:US
Mailing Address - Phone:321-262-7915
Mailing Address - Fax:407-324-1747
Practice Address - Street 1:8210 VIA BELLA ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-9752
Practice Address - Country:US
Practice Address - Phone:321-262-7915
Practice Address - Fax:407-324-1747
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator