Individual
MR. LLOYD WAYNE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3000 41ST STREET OCEAN, MARATHON, FL 33050-2373
(305) 434-9000
(305) 434-9040
Mailing address
3000 41ST STREET OCEAN, MARATHON, FL 33050-2373
(305) 434-9000
(305) 434-9040
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2185432
FL
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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