George B Rucker

NPI #1053657528 in Bradenton, Florida

Provider Information

NPI Number: 1053657528
Entity Type: Organization
Organization Name: George B Rucker
Primary Specialty: Specialist
Enumeration Date: Jan 2, 2013
Last Updated: Jan 2, 2013

Practice Location

Address: 6124 53RD AVE E
City: Bradenton
State: Florida
ZIP Code: 34203-9707
Phone: (941) 448-1199

Authorized Official

Name: DR. GEORGE B RUCKER, M.D.
Title: MEDICAL DOCTOR
Phone: (941) 224-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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