Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922033372 Individual Practitioner Female Practitioner

Dr. Michele Renee Tucker , DO

Pediatrics • Lakeland, FL

Professional Overview & Biography Verified Profile Summary

Dr. Michele Tucker, DO is a registered healthcare professional specializing in Pediatrics in Lakeland, FL. Practice services are available at 2140 E EDGEWOOD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2140 E Edgewood Dr

Lakeland, FL 338033604

Telephone 8636691212
Fax 8636666089
Associated Practice Facility / Clinic
🏢 Raypar Inc Facility NPI 1053728881

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lakeland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
47 Specialists

Practicing in Lakeland, FL (4160 Statewide)

Telehealth Adoption Rate
2.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-27
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL OS 9417

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OH 34008377

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
274953000 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dena Pearce-Cox , APRN

Nurse Practitioner - Pediatrics

NPI 1245584143

Advanced Practice Registered Nurse

Larhonda Felder , ARNP

Nurse Practitioner - Family

NPI 1407349350

Advanced Registered Nurse Practitioner

NPI 1528756756

Doctor of Medicine (M.D.)

NPI 1558335760

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2021

Pediatrics (License #34008377 in OH)

📍
Updated Practice Location July 29, 2020

Registered at 2140 E EDGEWOOD DR, LAKELAND, FL 338033604 (Tel: 8636691212)

📍
Updated Business Mailing Address July 29, 2020

Registered at 900 S PINE ISLAND RD STE 800, PLANTATION, FL 333243923 (Tel: 8636834661)

👤
Provider Name / Credentials Updated July 29, 2020

Recorded as MICHELE TUCKER, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2020

Pediatrics (License #OS 9417 in FL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2140 E EDGEWOOD DR, LAKELAND, FL 33803 (Tel: 8636691212)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2140 E EDGEWOOD DR, LAKELAND, FL 33803 (Tel: 3523754204)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHELE TUCKER, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #OS 9417 in FL)

🟢
Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922033372
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: October 27, 2021
Sole Proprietor: No

Mailing Address

900 S Pine Island Rd Ste 800

Plantation, FL 333243923

Phone: 8636834661

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.