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Organization
MEMORIAL REGIONAL HOSPITAL
Active
Organization
MEMORIAL REGIONAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY LEE TUCKER PSYCHOLOGIST-PSY.D. (ASSOCIATE ADMINISTRATOR)
(954) 265-7231
Entity
Organization
Contact information
Practice address
3400 N. 29 AVENUE, HOLLYWOOD, FL 33020
(954) 965-6408
(954) 965-6444
Mailing address
3400 N. 29 AVENUE., HOLLYWOOD, FL 33020
(954) 965-6408
(954) 965-6444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW00002945
FL
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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