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Organization
TUCKER & CO. LLC
Active
Organization
TUCKER & CO. LLC
Active
Other names
Concierge Medical Group, Evoque Health
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN ANN TUCKER LPN (OWNER)
(386) 247-3141
Entity
Organization
Contact information
Practice address
221 SW STONEGATE TER STE 105, LAKE CITY, FL 32024-3463
(386) 247-3141
Mailing address
250 NW MAIN BLVD # 1355, LAKE CITY, FL 32055-3380
(386) 247-3141
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
09/08/2021
Last updated
07/28/2022
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