Individual
NEIL THOMAS TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 SE 3RD AVE STE 200, FORT LAUDERDALE, FL 33316-2521
(954) 832-0332
(954) 832-0289
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 832-0332
(954) 832-0289
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME0060194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273540700
—
FL
Enumeration date
05/18/2006
Last updated
02/11/2019
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