Individual
DR. GERALD JOHN RUTECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
473 NW BLUE LAKE DR, PORT ST LUCIE, FL 34986-3573
(772) 336-8039
Mailing address
PO BOX 2926, VERO BEACH, FL 32961-2926
(772) 713-3910
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME14730
FL
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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