Individual provider · Type 1 NPI

Michael Rucker

Surgical Physician Assistant · Orlando, FL

NPI number 1164544193 Active

Practice location

2415 N Orange Ave Ste 700
Orlando, FL 32804-5521

Mailing address

4584 Old Carriage Trl
Oviedo, FL 32765-8473

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA2204 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1164544193

Michael Rucker's National Provider Identifier is 1164544193, issued on Apr 3, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orlando, FL. The record was last updated on Oct 11, 2023.