Individual
CHELSEA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1150 45TH ST, WEST PALM BEACH, FL 33407-2361
(561) 642-1000
Mailing address
1515 N FLAGLER DR STE 101, WEST PALM BEACH, FL 33401-3429
(561) 642-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9116908
STATE LICENSE
FL
Enumeration date
11/28/2022
Last updated
04/11/2024
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