Individual provider · Type 1 NPI

Michael Rucker Ii, PA-C

Surgical Physician Assistant · Jacksonville, FL

NPI number 1083107965 Active

Practice location

1824 King St, Ste 200
Jacksonville, FL 32204

Call (904) 384-3343 Map

Fax (904) 400-6671

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9111567 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1083107965

Michael Rucker Ii, PA-C's National Provider Identifier is 1083107965, issued on Jun 14, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 31, 2025.