Organization
CHARLES T. TUCKER DC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES THOMAS TUCKER DC (PRESIDENT)
(352) 378-3787
Entity
Organization
Contact information
Practice address
4041 NW 37TH PL, SUITE A, GAINESVILLE, FL 32606-6112
(352) 378-3787
(352) 378-4004
Mailing address
4041 NW 37TH PL, SUITE A, GAINESVILLE, FL 32606-6112
(352) 378-3787
(352) 378-4004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 3743
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050475100
—
FL
Enumeration date
07/22/2009
Last updated
10/18/2013
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