Individual
MR. MICHAEL RUCKER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1824 KING ST, STE 200, JACKSONVILLE, FL 32204
(904) 384-3343
(904) 400-6671
Mailing address
1824 KING ST, STE 200, JACKSONVILLE, FL 32204
(904) 384-3343
(904) 400-6671
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9111567
FL
Other
Enumeration date
06/14/2018
Last updated
03/31/2025
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