Individual
ANDREW COWLES RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
555 W STATE ROAD 434, LONGWOOD, FL 32750-5119
(407) 262-2220
(407) 834-5011
Mailing address
555 W STATE ROAD 434, LONGWOOD, FL 32750-5119
(407) 262-2220
(407) 834-5011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
OS18946
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
OS18946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114552600
—
FL
Enumeration date
04/09/2017
Last updated
12/02/2025
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