Suncoast Allergy & Asthma Center

NPI #1871680090 in Bradenton, Florida

Provider Information

NPI Number: 1871680090
Entity Type: Organization
Organization Name: Suncoast Allergy & Asthma Center
Primary Specialty: Allergy & Immunology
Enumeration Date: Oct 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 6124 53RD AVE E
City: Bradenton
State: Florida
ZIP Code: 34203-9707
Phone: (941) 758-0588

Authorized Official

Name: DR. RAJIVI RUCKER, M.D.
Title: OWNER/PRESIDENT
Phone: (941) 758-0588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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