Tucker, Neil Thomas

Tucker, Neil Thomas is an individual health care provider with primary practice located at 1625 Se 3Rd Ave Ste 200 , Fort Lauderdale FL 33316-2521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Tucker, Neil Thomas can be contacted via phone (954) 832-0332.

Contact Information

Primary practice address
1625 Se 3Rd Ave Ste 200 Fort Lauderdale FL 33316-2521
Phone: (954) 832-0332
Fax: (954) 832-0289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X ME0060194 Florida

Profile Details

NPI number 1952354151
LBN Legal business name Tucker, Neil Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Feb 11th, 2019 - 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 1952354151 NPPES
Florida MEDICAID 273540700

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