# RUSH MEDICAL LLC

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

## Provider details

- **NPI number:** 1346807039
- **Authorized official:** DR. CHRISTOPHER RUSH D,O,M, (PRESIDENT)
- **Authorized official phone:** (407) 505-7904

## Contact information

- **Practice address:** 2121 5TH AVE N, SAINT PETERSBURG, FL 33713-8013
- **Practice address phone:** (407) 505-7904
- **Practice address fax:** (407) 604-6416
- **Mailing address:** 8297 CHAMPIONS GATE BLVD \# 330, CHAMPIONS GATE, FL 33896-8387
- **Mailing address phone:** (407) 505-7904
- **Mailing address fax:** (407) 604-6416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2019
- **Last updated:** 05/29/2019