Individual
ANTHONY JOSEPH TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
173 N CHARLES RICHARD BEALL BLVD STE 106, DEBARY, FL 32713-2211
(321) 939-0222
Mailing address
2954 MALLORY CIR STE 101, CELEBRATION, FL 34747-1822
(321) 939-0222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9119206
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129885800
—
FL
Enumeration date
08/13/2024
Last updated
03/31/2026
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