R Michael Tucker MD PA
NPI #1548697436 in Lehigh Acres, Florida
Provider Information
- NPI Number
- 1548697436
- Entity Type
- Organization
- Organization Name
- R Michael Tucker MD PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 9, 2013
- Last Updated
- Oct 9, 2013
Practice Location
- Address
- 60 WESTMINSTER ST N
- Address 2
- SUITE A
- City
- Lehigh Acres
- State
- Florida
- ZIP Code
- 33936-6518
- Phone
- (239) 368-1808
Authorized Official
- Name
- RALPH MICHAEL TUCKER, MD
- Title
- OWNER
- Phone
- (239) 481-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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