Neil Thomas Tucker, MD | |
1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316-2521 | |
(954) 832-0332 | |
(954) 832-0289 |
Full Name | Neil Thomas Tucker |
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Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 1625 Se 3rd Ave Ste 200, Fort Lauderdale, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952354151 | NPI | - | NPPES |
273540700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | ME0060194 (Florida) | Primary |
Entity Name | Norton Childrens Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
Mailing Address | Practice Location Address |
---|---|
Neil Thomas Tucker, MD 1700 Nw 49th St Ste 125, Fort Lauderdale, FL 33309-3750 Ph: (954) 832-0332 | Neil Thomas Tucker, MD 1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316-2521 Ph: (954) 832-0332 |
Dianne Mattox Parker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 S Andrews Ave, Newborn Nursery, Fort Lauderdale, FL 33316 Phone: 954-355-5810 | |
Dr. Paula Michele Thaqi, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 780 Sw 24th St, Fort Lauderdale, FL 33315 Phone: 954-467-4700 Fax: 954-467-4704 | |
Tonya Grissam, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6451 N Federal Hwy Ste 800, Fort Lauderdale, FL 33308 Phone: 800-586-5022 Fax: 954-229-9801 | |
Alexis Dietz, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 915 Middle River Dr Ste 209, Fort Lauderdale, FL 33304 Phone: 954-300-1736 | |
Dr. Natasha Mendez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316 Phone: 954-832-0332 Fax: 954-832-0289 | |
Johanna Albrecht, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Nw 7th Ave, Fort Lauderdale, FL 33311 Phone: 954-759-6600 Fax: 954-759-6665 | |
John Russell Livengood, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 780 Sw 24th St, Medical Administration, Fort Lauderdale, FL 33315 Phone: 954-467-4822 |