Individual
DR. MARIANN LOUISE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
12950 E. COLONIAL DRIVE, SUITE #100, ORLANDO, FL 32826-4609
(407) 658-9020
(800) 878-9609
Mailing address
3955 HUNTERS RIDGE WAY, TITUSVILLE, FL 32796-1855
(407) 658-9020
(800) 878-9609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FLOPC#1977
FL
152W00000X
Optometrist
OPC 1977
FL
152WC0802X
Corneal and Contact Management Optometrist
FL OPC 1977
FL
152WC0802X
Corneal and Contact Management Optometrist
FLOPC#1977
FL
Other
Enumeration date
05/28/2005
Last updated
04/19/2010
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