Individual
ALYOSHA SAMUEL TUNKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2335 TAMIAMI TRL N, SUITE 501, NAPLES, FL 34103-4456
(239) 263-0011
(239) 430-7823
Mailing address
2234 COLONIAL BLVD, ATTN: MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME95350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275972100
—
FL
01
—
328467
AVMED
FL
01
—
53771
BCBS
FL
01
—
7078830
AETNA
FL
01
—
P00877437
RR MEDICARE
FL
01
—
P01808774
CLEAR HEALTH
FL
01
—
P303065
FREEDOM
FL
01
—
P953714
OPTIMUM
FL
Enumeration date
07/09/2006
Last updated
04/06/2017
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