R MICHAEL TUCKER MD PA NPI 1548697436

NPI Information

  • NPI: 1548697436
  • Provider Name: R MICHAEL TUCKER MD PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 60 WESTMINSTER ST N
    SUITE A
    LEHIGH ACRES, FL
    ZIP 33936
  • Phone: (239) 368-1808

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NPI Details

R MICHAEL TUCKER MD PA is a family medicine in Lehigh Acres, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. R MICHAEL TUCKER MD PA NPI is 1548697436. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

60 WESTMINSTER ST N
SUITE A
LEHIGH ACRES, FL
ZIP 33936-518
Phone: (239) 368-1808
Fax: (239) 481-8150

The provider's authorized official is Ralph Michael Tucker .
The authorized official title is Owner and has the following contact phone number (239) 481-7000.

The enumeration date for this NPI number is 10/9/2013 and was last updated on 10/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME51024FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ME51024OTHERFLORIDAMEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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