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Individual
JEFFREY ALAN TUCKER
Active
Individual
JEFFREY ALAN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 12440
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650023083
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
04/03/2007
Last updated
02/19/2020
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