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Individual
JOHN O TUCKER
Active
Individual
JOHN O TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH1520
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0507164-00
—
FL
01
—
109435
AMERIGROUP
FL
01
—
189493
STAYWELL
—
01
—
272544
AVMED
FL
01
—
350053678
RAIL ROAD MEDICARE
—
01
—
4407759
AETNA
—
01
—
45163
BCBS HEALTH OPTIONS
—
01
—
89514
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/13/2007
Last updated
04/19/2012
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