George B Rucker

NPI 1053657528 - Specialist - 174400000X

NPI Details
NPI 1053657528
Enumeration Date 01/02/2013
Last Updated 01/02/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name GEORGE B GEORGE
Position MEDICAL DOCTOR
Phone (941) 448-1199
Fax
Practice Location
6124 53RD AVE E
BRADENTON FL, 34203-9707, US
Phone (941) 448-1199
Fax
Business Location
7282 55TH AVE E STE 178
BRADENTON FL, 34203-8002, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number ME82623
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According to our database, George B Rucker NPI is 1053657528, taxonomy code is 174400000X and license number is ME82623, license state is located at Florida. George B Rucker physically located at 6124 53rd Ave E, Bradenton FL, 34203-9707. NPI Number 1033115704 has the healthcare provider type.

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1053657528 NPI number is provided on an as is basis without warranty of any kind. 1053657528 is maintained by the National Plan & Provider Enumeration System. The contents of George B Rucker are for informational purposes only.