Aaron Tuckler Mdpa
Organization Active NPI Primary Care Clinic/Center · Miami, FL
NPI 1497054068 · NPPES record last updated Mar 22, 2011
Key facts
- NPI
- 1497054068
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 037558 (FL)
- Legal business name
- AARON TUCKLER MDPA
- Practice address
- 9570 SW 107TH Ave # C204
Miami, FL 33176-2788 - Phone
- (305) 598-6464
- Fax
- (305) 598-6443
- NPI assigned
- Mar 22, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Aaron Tuckler, MD
- Title
- President
- Phone
- (305) 598-6464
Practitioners 1
-
Aaron Bernard Tuckler, M.D.
National Provider Directory
Locations
9570 SW 107th Ave
#C204
Miami, FL 33176
Phone (305) 598-6464
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 037558 | FL | Yes |
Addresses
Primary practice location
9570 SW 107TH Ave # C204
Miami, FL 33176-2788
Mailing address
9570 SW 107TH Ave # C204
Miami, FL 33176-2788
Phone (305) 598-6464
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.