Frank Charles Tucker Jr., M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23918 Issued in FL

Practice address

954 Grand Canal St
Gulf Breeze, FL 32563-3053

Phone

(850) 934-9472

Fax

(850) 934-9472

NPI assigned

Jun 4, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1588866263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 GRAND CANAL ST",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633053",
            "telephone_number": "850-934-9472",
            "fax_number": "850-934-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 GRAND CANAL ST",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633053",
            "telephone_number": "850-934-9472",
            "fax_number": "850-934-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "FRANK",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "23918",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME23918",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "23918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN",
            "identifier": "ME23918",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "78436Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Trevino
• Ruth Valeria Trigonis-Quesada, LCSW
• Ashley Truax, SLP
• Amber Baughn Tucei, D.C.
• Cameron Daniels Tucker, RPT
• Christopher R Tugwell, M.D.
• Laura Tunke, MD
• Turning Point Education Services, Inc.
• Uncommon Valor Behavioral Health
• Urmos Chiropractic Health Center PA

• General Practice Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.