Individual
FELICIA ANN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E LAKE HOWARD DR, WINTER HAVEN, FL 33881-3118
(863) 259-0664
Mailing address
369 LAKE DAISY CIR, WINTER HAVEN, FL 33884-2632
(863) 259-0664
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
19761
FL
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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