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Organization

CARDIOVASCULAR AND SURGICAL FIRST ASSISTANTS OF CENTRAL FLORIDA, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL RUCKER PA-C (PRESIDENT)
(407) 701-4253
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
06/11/2009
Last updated
09/20/2019
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