Individual
LUCIEN-MAXIMIN YANOU TCHUISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7000 OLD WOLF BAY RD, PALATKA, FL 32177-6816
(386) 325-5699
(386) 325-5644
Mailing address
7000 OLD WOLF BAY RD, PALATKA, FL 32177-6816
(386) 325-5699
(386) 325-5644
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME85684
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264937300
—
FL
01
—
68-3815
MEDICARE PTAN
FL
Enumeration date
03/09/2006
Last updated
10/17/2022
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