Individual
DR. MICHAEL RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-4603
(954) 267-6650
(954) 351-7874
Mailing address
PO BOX 11398, FORT LAUDERDALE, FL 33339-1398
(877) 448-8675
(772) 621-3180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066052300
—
FL
Enumeration date
01/09/2006
Last updated
04/14/2011
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