| Doctor Name: | MS. TRACEY RAE FRITZINGER |
| NPI Number: | 1053635722 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RT(N), CNMT |
| License Number: | CRT 60515 |
| Business Practice Address: | 680 Cumberland Rd Deland, FL - 327242416 |
| Business Phone Number: | 3869568444 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3455, DELAND |
| State: | FL |
| Postal Code: | 327213455 |
| Phone Number: | 3869568444 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2010 |
| NPI Last Update Date: | 03/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471N0900X |
| License Number: | CRT 60515 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Nuclear Medicine Technology |
| Taxonomy Definition: | |