Healthcare Provider Details

I. General information

NPI: 1306177498
Provider Name (Legal Business Name): ALLISON TUCCI ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2010
Last Update Date: 06/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 PALM SPRINGS DR SUITE 2A
ALTAMONTE SPRINGS FL
32701-7853
US

IV. Provider business mailing address

685 PALM SPRINGS DR SUITE 2A
ALTAMONTE SPRINGS FL
32701-7853
US

V. Phone/Fax

Practice location:
  • Phone: 407-830-5577
  • Fax: 407-830-4164
Mailing address:
  • Phone: 407-830-5577
  • Fax: 407-830-4164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9233003
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: