Individual provider · Type 1 NPI

Wilder Shawn Rucker, MD

General Practice Physician · Miramar, FL

NPI number 1235403742 Active

Practice location

3601 SW 160th Ave Ste 250
Miramar, FL 33027-6314

Call (877) 866-7123 Map

Mailing address

1276 Dekalb Ave # 4A
Brooklyn, NY 11221-3204

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X264414 (NY)
General Practice Physician Primary 208D00000X000000000 (NY)
Family Medicine Physician 207Q00000X264414 (NY)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1235403742

Wilder Shawn Rucker, MD's National Provider Identifier is 1235403742, issued on Mar 1, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Miramar, FL. The record was last updated on Nov 2, 2026.