Greene, Tucker
Greene, Tucker is an individual health care provider with primary practice located at 636 Del Prado Blvd S , Cape Coral FL 33990-2668. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Greene, Tucker can be contacted via phone (239) 772-6513.Contact Information
Primary practice address
636 Del Prado Blvd S
Cape Coral FL 33990-2668
Phone: (239) 772-6513
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | ME76719 | Florida |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME76719 | Florida |
Profile Details
| NPI number | 1023073392 |
|---|---|
| LBN Legal business name | Greene, Tucker |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | May 29th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023073392 | NPPES |
| Florida | MEDICAID | 255763100 | |
| Florida | Other | 218034 | |
| Florida | Other | 5268640 | |
| Florida | Other | 44859 |
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