Individual
DR. JENNIFER J TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6056 BOYNTON BEACH BLVD STE 215, BOYNTON BEACH, FL 33437-3500
(561) 733-5888
Mailing address
6056 BOYNTON BEACH BLVD STE 215, BOYNTON BEACH, FL 33437-3500
(561) 733-5888
(770) 422-0287
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
062649
GA
207XS0106X
Orthopaedic Hand Surgery Physician
062649
GA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME147283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
984504931A
—
GA
05
—
984504931B
—
GA
05
—
984504931C
—
GA
05
—
984504931D
—
GA
Enumeration date
02/09/2007
Last updated
12/21/2020
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