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Organization
CHARLES T. TUCKER DC, PA
Active
Organization
CHARLES T. TUCKER DC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES THOMAS TUCKER DC (PRESIDENT)
(352) 378-3787
Entity
Organization
Contact information
Practice address
4041 NW 37TH PL, SUITE A, GAINESVILLE, FL 32606-6112
(352) 378-3787
(352) 378-4004
Mailing address
4041 NW 37TH PL, SUITE A, GAINESVILLE, FL 32606-6112
(352) 378-3787
(352) 378-4004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 3743
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050475100
—
FL
Enumeration date
07/22/2009
Last updated
10/18/2013
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