| Dr Anthony Todd Tucker, MD | |
|
120 Cypress Edge Dr, Suite 202, Palm Coast, FL 32164-8411 | |
| (386) 586-4462 | |
| (386) 586-4463 |
| Full Name | Dr Anthony Todd Tucker |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 22 Years |
| Location | 120 Cypress Edge Dr, Palm Coast, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700048683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | PENDING (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Florida Hospital Flagler | Palm coast, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Ent Associates Inc | 4587556923 | 159 |
| Entity Name | Florida Ent Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184625733 PECOS PAC ID: 4587556923 Enrollment ID: O20040329001213 |
| Entity Name | Coastal Ear Nose & Throat Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265417729 PECOS PAC ID: 7911083696 Enrollment ID: O20080320000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Todd Tucker, MD 15280 Nw 79th Ct Ste 200, Miami Lakes, FL 33016-5873 Ph: (305) 558-3724 | Dr Anthony Todd Tucker, MD 120 Cypress Edge Dr, Suite 202, Palm Coast, FL 32164-8411 Ph: (386) 586-4462 |
Richard Fabian, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 29 Clarendon Ct N, Palm Coast, FL 32137 Phone: 386-447-3911 | |
Daniel Charles Dantini Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 29 Old Kings Rd N, Suite 6a, Palm Coast, FL 32137 Phone: 386-446-2202 Fax: 386-597-2975 |