Organization
ELEMENTZ RX
Active
Organization
ELEMENTZ RX
Active
Other names
Dr. George Rucker
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE BINO RUCKER M.D (MEDICAL DOCTOR)
(941) 448-1199
Entity
Organization
Contact information
Practice address
6124 53RD AVE E, BRADENTON, FL 34203-9707
(941) 448-1199
(941) 761-5690
Mailing address
6124 53RD AVE E, BRADENTON, FL 34203-9707
(941) 448-1199
(941) 761-5690
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME82623
FL
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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