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Contact Information

TUCKER GREENE
636 DEL PRADO BLVD S
CAPE CORAL, FL33990-2668
 Phone: 239-772-6513
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for TUCKER GREENE · (Male)

NPI Number 1023073392
Status Active
Credentials
Entity Individual
Enumeration date 04/19/2006
Last updated 05/29/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME76719
  • FL Medicaid 255763100
  • FL Other 5268640 AETNA
  • FL Other 218034 AMERIGROUP
  • FL Other 44859 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • FAWCETT MEMORIAL HOSPITAL - (Acute Care)
    21298 OLEAN BLVD
    PORT CHARLOTTE, FL 33952
  • PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE - (Acute Care)
    6101 PINE RIDGE ROAD
    NAPLES, FL 34119
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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