Tucker, Jeffrey Alan

Tucker, Jeffrey Alan is an sole proprietor health care provider with primary practice located at 1400 Se Goldtree Dr Suite 205, Port St Lucie FL 34952-7582. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Tucker, Jeffrey Alan can be contacted via phone (772) 335-7966.

Contact Information

Primary practice address
1400 Se Goldtree Dr Suite 205 Port St Lucie FL 34952-7582
Phone: (772) 335-7966
Fax: (772) 335-7963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 12440 Florida

Profile Details

NPI number 1982725230
LBN Legal business name Tucker, Jeffrey Alan
Credentials MSPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Feb 19th, 2020 - about 4 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 1982725230 NPPES
Florida Other 650023083 RAILROAD MEDICARE PROVIDER NUMBER

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