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Tracy Oler, PA-C

Physician Assistant in Port Orange, FL. Individual provider (NPI-1).

NPI number1396160495
StatusActive
Last updated in NPPESMay 29, 2026

Details

NPI
1396160495
Entity type
Individual (NPI-1)
Name
Tracy Oler
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Feb 26, 2014
Certification date
May 29, 2026
Last updated
May 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA9107752FLYes
363AS0400X Physician Assistant, SurgicalPA9107752FL

Practice location

5600 Victoria Gardens Blvd
Port Orange, FL 32127-7914

Phone 386-760-7773

Mailing address

2094 Hazen Rd
Deland, FL 32720-2101

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