Individual
MS. SUSAN RUCKER MIHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
145 MIAMI AVE EAST, VENICE, FL 34285
(941) 480-0088
(941) 480-0006
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME68443
FL
Other
Enumeration date
10/19/2006
Last updated
08/09/2019
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