Individual
ANDREW J TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
160 NW 170TH ST, NORTH MIAMI BEACH, FL 33169-5521
(305) 651-1100
Mailing address
2125 BISCAYNE BLVD STE 204, MIAMI, FL 33137-5029
(850) 509-8576
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1215566492
FL
207L00000X
Anesthesiology Physician
81845
WI
207L00000X
Anesthesiology Physician
OS025269
PA
207R00000X
Internal Medicine Physician
207R00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215566492
—
WI
Enumeration date
04/08/2020
Last updated
02/23/2026
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