Individual
DR. MICHAEL T RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-2111
(904) 542-7632
Mailing address
113 E BERKSWELL DR, SAINT JOHNS, FL 32259-7207
(606) 224-5864
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11024227
FL
Other
Enumeration date
07/15/2016
Last updated
03/05/2025
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