Sam Tucker

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6080160256358 Issued in FL

Practice address

10413 Lake Vista Cir
Boca Raton, FL 33498-6772

Phone

(877) 341-8367

Fax

(888) 212-1537

NPI assigned

Dec 6, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1649601329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10413 LAKE VISTA CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986772",
            "telephone_number": "877-341-8367",
            "fax_number": "888-212-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10413 LAKE VISTA CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986772",
            "telephone_number": "877-341-8367",
            "fax_number": "888-212-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "6080160256358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alla Tsimerman, D.O.
• Michael Benjamin Tsinberg, MD
• Jacqueline Tsotetsi
• Brad Tucker
• Emmet Clive Tucker, L.AC.
• Stella Tuckus
• Sharee L Tumbling, RRT
• Lidia Tunyan, NP
• Jaclyn Tureff, LCSW
• Shannon Turek, D.C.

• Durable Medical Equipment & Medical Supplies in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.