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NPI Code Detail

MEDICARE: AARON BERNARD TUCKLER MD PA

MEDICARE: AARON BERNARD TUCKLER MD PA
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
1174400000XSpecialistME109419FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114CJ7OTHERFLBC/BS
2ME109419OTHERFLFL LICENSE
31760771000OTHERFLIND NPI

General Provider Information

NPI Number : 1326315243
Entity Type Code : Organization
Provider Name (Legal Business Name) : AARON BERNARD TUCKLER MD PA
Provider Business Mailing Address
First Line : 9570 SW 107TH AVE
Second Line : SUITE # C-204
City : MIAMI
State : FL
Zip : 33176-2788
Country : US
Telephone Number : 305-598-6464
Fax Number : 305-598-6443
Provider Business Practice Location Address
First Line : 9570 SW 107TH AVE
Second Line : SUITE # C-204
City : MIAMI
State : FL
Zip : 33176-2788
Country : US
Telephone Number : 305-598-6464
Fax Number : 305-598-6443
Authorized Official
Title or Position : DOCTOR
Name : AARON BERNARD TUCKLER
Credential : MD FACC
Telephone Number : 305-598-6464
Provider Enumeration Date : 11/21/2011
Last Update Date : 11/21/2011

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Practice Phone: 305-598-6464
Practice Fax: 305-598-6443

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