Provider Demographics
NPI:1871713206
Name:TUCHLER, ELLY (AP)
Entity type:Individual
Prefix:MS
First Name:ELLY
Middle Name:
Last Name:TUCHLER
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8615 COMMODITY CIRCLE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-9073
Mailing Address - Country:US
Mailing Address - Phone:407-373-0606
Mailing Address - Fax:407-373-0606
Practice Address - Street 1:8615 COMMODITY CIR
Practice Address - Street 2:SUITE 10
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9073
Practice Address - Country:US
Practice Address - Phone:407-373-0606
Practice Address - Fax:407-373-0606
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2283171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist