Individual
ANTHONY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1840 ELDRON BLVD SE STE 1, PALM BAY, FL 32909-6871
(321) 312-4580
(321) 914-4053
Mailing address
1840 ELDRON BLVD SE STE 1, PALM BAY, FL 32909-6871
(321) 312-4580
(321) 914-4053
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
171620
NY
207P00000X
Emergency Medicine Physician
Primary
ME120268
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02585871
—
NY
Enumeration date
10/16/2006
Last updated
03/28/2018
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