# DR. RALPH H. RUSCO JR.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DR. RALPH H. RUSCO JR.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033570809
- **Legal business name:** DR. RALPH H. RUSCO JR.
- **Authorized official:** DR. RALPH HAMILTON RUSCO JR. D.O. (DOCTOR)
- **Authorized official phone:** (941) 488-8862

## Contact information

- **Practice address:** 807 US HIGHWAY 41 BYP S, VENICE, FL 34285-4360
- **Practice address phone:** (941) 488-8862
- **Practice address fax:** (941) 485-4066
- **Mailing address:** 807 US HIGHWAY 41 BYP S, VENICE, FL 34285-4360
- **Mailing address phone:** (941) 488-8862
- **Mailing address fax:** (941) 485-4066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0S0002193 | FL | Yes |

## Other

- **Enumeration date:** 03/08/2016
- **Last updated:** 03/08/2016