Provider Demographics
NPI:1962486324
Name:TUCHINSKY, DAVID B (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:TUCHINSKY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WHETSTONE PL
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5774
Mailing Address - Country:US
Mailing Address - Phone:904-217-7450
Mailing Address - Fax:904-217-7483
Practice Address - Street 1:100 WHETSTONE PL
Practice Address - Street 2:SUITE 310
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5774
Practice Address - Country:US
Practice Address - Phone:904-217-7450
Practice Address - Fax:904-217-7483
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3617111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T85887Medicare UPIN
FL88669Medicare PIN