Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CARDIOVASCULAR AND SURGICAL FIRST ASSISTANTS OF CENTRAL FLORIDA, PA
Active
Organization
CARDIOVASCULAR AND SURGICAL FIRST ASSISTANTS OF CENTRAL FLORIDA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RUCKER PA-C (PRESIDENT)
(407) 701-4253
Entity
Organization
Contact information
Practice address
4584 OLD CARRIAGE TRL, OVIEDO, FL 32765-8473
(407) 491-0114
(407) 679-4343
Mailing address
4584 OLD CARRIAGE TRL, OVIEDO, FL 32765-8473
(407) 491-0114
(407) 679-4343
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/11/2009
Last updated
09/20/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers