# CARDIOVASCULAR AND SURGICAL FIRST ASSISTANTS OF CENTRAL FLORIDA, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245467729
- **Authorized official:** MR. MICHAEL RUCKER PA-C (PRESIDENT)
- **Authorized official phone:** (407) 701-4253

## Contact information

- **Practice address:** 4584 OLD CARRIAGE TRL, OVIEDO, FL 32765-8473
- **Practice address phone:** (407) 491-0114
- **Practice address fax:** (407) 679-4343
- **Mailing address:** 4584 OLD CARRIAGE TRL, OVIEDO, FL 32765-8473
- **Mailing address phone:** (407) 491-0114
- **Mailing address fax:** (407) 679-4343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2009
- **Last updated:** 09/20/2019