Tucker, Anthony

Tucker, Anthony is an individual health care provider with primary practice located at 1840 Eldron Blvd Se Ste 1 , Palm Bay FL 32909-6871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tucker, Anthony can be contacted via phone (321) 312-4580.

Contact Information

Primary practice address
1840 Eldron Blvd Se Ste 1 Palm Bay FL 32909-6871
Phone: (321) 312-4580
Fax: (321) 914-4053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 171620 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME120268 Florida

Profile Details

NPI number 1356421366
LBN Legal business name Tucker, Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Mar 28th, 2018 - about 6 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356421366 NPPES
New York MEDICAID 02585871

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