Individual
LOUIS GRAHAM RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2809 W WATERS AVE, TAMPA, FL 33614-1852
(813) 348-9088
Mailing address
2809 W WATERS AVE, TAMPA, FL 33614-1852
(133) 489-0888
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
164375
FL
Other
Enumeration date
04/05/2018
Last updated
01/04/2024
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