Individual
MR. JAMEL AMELE RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., RRT
Contact information
Practice address
4000 NEW BROAD CIR APT 204, OVIEDO, FL 32765-7327
(407) 457-0153
Mailing address
4000 NEW BROAD CIR APT 204, OVIEDO, FL 32765-7327
(407) 457-0153
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT7756
FL
2279H0200X
Home Health Registered Respiratory Therapist
RT7756
FL
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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