Individual
GEORGIA C TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7050 GALL BLVD, ZEPHYRHILLS, FL 33541-1347
(800) 237-6723
(352) 732-6282
Mailing address
PO BOX 552437, TAMPA, FL 33655-0001
(800) 237-6723
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1068092
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034806600
—
FL
01
—
430028311
RAILROAD MEDICARE
—
01
—
G0266
BCBS
FL
Enumeration date
12/08/2005
Last updated
03/18/2009
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