person
Michael Rucker
Surgical Physician Assistant in Orlando, Florida
NPI 1164544193

Michael Rucker is a Surgical Physician Assistant based in Oviedo, FL and is specialized in Surgical. Michael Rucker practices in Orlando, FL. The NPI Number for Michael Rucker is 1164544193 and holds a License No. PA2204 (Florida).

The current practice location address for Michael Rucker is 2415 N Orange Ave Ste 700, Orlando, FL and can be reached out via phone at 407-303-2474.

Location: 2415 N Orange Ave Ste 700, Orlando, FL, 32765-8473
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Provider Profile Details
NPI Number
1164544193
Provider Name
Michael Rucker
Credential
Provider Entity Type
Individual
Gender
Male
Address
2415 N Orange Ave Ste 700, Orlando, FL, 32765-8473
Phone Number
407-303-2474
Fax Number
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
292052200 05 FL
institution
Provider Business Practice Location Address Details
Address
2415 N Orange Ave Ste 700
City
State
Zip
32804-5521
Phone Number
407-303-2474
Fax Number
person
Provider Business Mailing Address Details
Address
2415 N Orange Ave Ste 700
City
State
Zip
32804-5521
Phone Number
407-303-2474
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA2204 (Florida)
Definition
Definition to come...
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