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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