Carli Ruckman O.D.

NPI 1891075578 - Optometrist - 152W00000X

NPI Details
NPI 1891075578
Gender Female
Enumeration Date 08/25/2011
Last Updated 11/14/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
6911 PISTOL RANGE RD
SUITE 103B
TAMPA FL, 33635-6335, US
Phone (813) 925-3393
Fax (813) 925-3394
Business Location
8701 SUMMER DR
HUDSON FL, 34667-4183, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC 4648
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According to our database, Dr. Carli Ruckman O.D. NPI is 1891075578, taxonomy code is 152W00000X and license number is OPC 4648, license state is located at Florida. Carli Ruckman O.D. physically located at 6911 Pistol Range Rd, Tampa FL, 33635-6335. NPI Number Carli Ruckman O.D. has the Individual type.

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1891075578 NPI number is provided on an as is basis without warranty of any kind. 1891075578 is maintained by the National Plan & Provider Enumeration System. The contents of Carli Ruckman O.D. are for informational purposes only.