Female

Adiva Tucker

Case Manager/Care Coordinator in Kissimmee, FL(View on Map)

Full Name

Adiva Tucker

NPI Number

1063921500

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/27/2017

Specialties

(Taxonomies)

Code

171M00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

3037 PATTERSON GROVES DR
1975 S JOHN YOUNG PKWY # 203A

City

Haines City
Kissimmee

State

FL
FL

Postal Code

33844-6331
34741-0603

Country

US
US

Telephone Number

(407) 375-5772
(321) 236-1540

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/27/2017

Provider Address

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