MEDICARE: HOWARD S TUCH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME61438	FL
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	ME61438	FL
3	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	ME61438	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	14AN8	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1548266356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD S TUCH M.D.

Provider Business Mailing Address
First Line	:	PO BOX 917770
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 TAMPA GENERAL CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-3571
Country	:	US
Telephone Number	:	813-844-7917
Fax Number	:	813-844-1609

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	03/30/2021

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