Provider Demographics
NPI:1841658119
Name:TUCEI, AMBER BAUGHN (DC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:BAUGHN
Last Name:TUCEI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5668 GULF BREEZE PKWY UNIT 6
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-4107
Mailing Address - Country:US
Mailing Address - Phone:850-565-4445
Mailing Address - Fax:850-565-4445
Practice Address - Street 1:5668 GULF BREEZE PKWY
Practice Address - Street 2:UNIT 6
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563
Practice Address - Country:US
Practice Address - Phone:850-207-0165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-02
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 11781111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor