Aaron Tuckler Mdpa
Clinic/Center, Primary Care in Miami, FL. Organization (NPI-2).
NPI number1497054068
StatusActive
Last updated in NPPESMar 22, 2011
Details
- NPI
- 1497054068
- Entity type
- Organization (NPI-2)
- Legal business name
- Aaron Tuckler Mdpa
- Organization subpart
- No
- Enumeration date
- Mar 22, 2011
- Last updated
- Mar 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 037558 | FL | Yes |
Practice location
9570 Sw 107th Ave # C204Miami, FL 33176-2788
Phone 305-598-6464 · Fax 305-598-6443
Mailing address
9570 Sw 107th Ave # C204Miami, FL 33176-2788
Phone 305-598-6464 · Fax 305-598-6443
Authorized official
Aaron Tuckler
President
3055986464
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