Individual
ELIZABETH B TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12805 US HIGHWAY 98 E UNIT G201, INLET BEACH, FL 32461-9632
(850) 278-3466
(850) 278-3467
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME160145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000045066
—
AL
01
—
51045066
BCBS
AL
Enumeration date
05/22/2006
Last updated
07/19/2023
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