Individual
DR. ANTHONY TODD TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 CYPRESS EDGE DR, SUITE 202, PALM COAST, FL 32164-8411
(386) 586-4462
(386) 586-4463
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
(786) 907-4485
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
PENDING
FL
Other
Enumeration date
07/01/2008
Last updated
05/09/2024
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