Individual
MR. DERRICK WAYNE TUGGERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
3344 SW 51ST TER, OCALA, FL 34474-9484
(352) 299-1961
(352) 575-1080
Mailing address
3344 SW 51ST TER, OCALA, FL 34474-9484
(352) 299-1961
(352) 575-1080
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
AHCHA
FL
372500000X
Chore Provider
—
FL
372600000X
Adult Companion
FL19650
FL
373H00000X
Day Training/Habilitation Specialist
—
FL
3747A0650X
Attendant Care Provider
—
FL
3747P1801X
Personal Care Attendant
—
FL
374U00000X
Home Health Aide
Primary
—
FL
376J00000X
Homemaker
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
05/26/2017
Last updated
07/21/2022
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