MOISES B TUCKLER (NPI# 1659838597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659838597 |
| Entity Type | Individual |
| Full Name | MOISES B TUCKLER |
| Credential | PA-C |
| Practice Address |
3378 Mariner Blvd Spring Hill FL 34609-2460 |
| Practice Telephone | 3527967171 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9112030 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3378 MARINER BLVD |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34609-2460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679641039 | Gaurav Vijai Malhotra | Internal Medicine | 3378 Mariner Blvd, Spring Hill, FL 34609-2460 | 2006-12-01 |
| 1538773783 | Samantha Waddell | Nurse Practitioner | 3378 Mariner Blvd, Spring Hill, FL 34609-2460 | 2020-09-04 |
| 1942557848 | Absolute Healthcare LLC | Internal Medicine | 3378 Mariner Blvd, Spring Hill, FL 34609-2460 | 2012-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033741970 | Tiffany Dawn Westbrook | Nurse Practitioner | 225 Mariner, Spring Hill, FL 34609 | 2020-02-09 |
| 1215450515 | Jessica Deprimo | Occupational Therapy Assistant | 224-236 Mariner Blvd, Spring Hill, FL 34609 | 2017-07-19 |
| 1760911259 | Sunset Family Inc. | Home Health | 4058 Puffer Trce, Spring Hill, FL 34609 | 2017-06-08 |
| 1073943213 | Isidora Alf, Inc | Assisted Living Facility | 3467 Everett Ave, Spring Hill, FL 34609 | 2013-11-26 |
| 1144667494 | Desiree Gagne | Occupational Therapist | 11216 Spring Hill Dr, Spring Hill, FL 34609 | 2013-05-28 |
| 1659635274 | Miyosia Plummer | Counselor | 7074 Grove Road, Brooksville, FL 34609 | 2012-06-28 |
| 1790074623 | Colleen Landry | Occupational Therapy Assistant | 14075 Cooper Rd, Spring Hill, FL 34609 | 2011-03-31 |
| 1639489438 | Anoop Karanth | Pharmacist | 13303 Haverhill Drive, Springhill, FL 34609 | 2010-10-14 |
| 1619283587 | Spring Hill Primary Care LLC | Internal Medicine | 34 Seven Hills Dr, Spring Hill, FL 34609 | 2010-08-30 |
| 1831330547 | Theresa M. Meloche, A.r.n.p. & Associates, Pllc | Nurse Practitioner | 4120 Charmwood Ave., Spring Hill, FL 34609 | 2009-03-10 |
| Find all providers in zip 34609 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740790500 | Tory Christopher Fisher | Physician Assistant | 22450 S Harrison St Ste 100, Spring Hill, KS 66083-8882 | 2017-10-06 |
| 1790160281 | William Scott Collier | Physician Assistant | 1251 Hunters Point Ln, Spring Hill, TN 37174-2188 | 2015-07-25 |
| 1578941860 | Brian Masterson | Physician Assistant | 5073 Main St Ste 140, Spring Hill, TN 37174-2738 | 2015-05-07 |
| 1811273790 | Daniel R Prentice Pa-c Pa | Physician Assistant | 10270 Bernarda Ct, Spring Hill, FL 34608-1200 | 2011-10-24 |
| 1538184510 | Richard Donald Jaynes | Physician Assistant | 9566 Purdy St, Spring Hill, FL 34608-3556 | 2006-07-12 |
| 1841657665 | Corley Brothers | Physician Assistant | 5073 Main St, Suite 100, Spring Hill, TN 37174-2737 | 2016-01-25 |
| 1043623663 | Nathan T Glass | Physician Assistant | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2014-06-11 |
| 1235430935 | Donald Carson | Physician Assistant | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2010-11-11 |
| 1699940403 | Brian L. Kersey | Physician Assistant | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2008-04-23 |
| 1336348739 | Sherry Ann Rockman | Physician Assistant | 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | 2007-07-16 |
| Find all providers in SPRING HILL | ||||
| City | SPRING HILL |
| Zip Code | 34609 |
Please comment or provide details below to improve the information on MOISES B TUCKLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.