Individual
DANIEL MARC TUCKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2001 W 68TH ST, SUITE 202, HIALEAH, FL 33016-1801
(305) 364-2107
Mailing address
210 BAL CROSS DR, BAL HARBOUR, FL 33154-1319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS15636
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2017
Last updated
12/30/2019
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