# SUNCOAST ALLERGY & ASTHMA CENTER

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

## Provider details

- **NPI number:** 1871680090
- **Authorized official:** DR. RAJIVI RUCKER M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (941) 758-0588

## Contact information

- **Practice address:** 6124 53RD AVE E, BRADENTON, FL 34203-9707
- **Practice address phone:** (941) 758-0588
- **Practice address fax:** (941) 739-3564
- **Mailing address:** 6124 53RD AVE E, BRADENTON, FL 34203-9707
- **Mailing address phone:** (941) 758-0588
- **Mailing address fax:** (941) 739-3564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | FL | Yes |

## Other

- **Enumeration date:** 10/08/2006
- **Last updated:** 08/22/2020