Tucker, Steven G

Tucker, Steven G is an individual health care provider with primary practice located at 1610 Ne Miami Gardens Dr , North Miami Beach FL 33179-4900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tucker, Steven G can be contacted via phone (305) 940-6016.

Contact Information

Primary practice address
1610 Ne Miami Gardens Dr North Miami Beach FL 33179-4900
Phone: (305) 940-6016
Fax: (305) 940-6167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME46308 Florida

Profile Details

NPI number 1679561237
LBN Legal business name Tucker, Steven G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Feb 20th, 2013 - about 11 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 1679561237 NPPES
Florida MEDICAID 371923500

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