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Individual

DR. JEFFREY ALLYN RUTERBUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
316 PARKRIDGE AVE, ORANGE PARK, FL 32065-7507
(904) 589-0750
(904) 375-8821
Mailing address
316 PARKRIDGE AVE, ORANGE PARK, FL 32065-7507
(904) 589-0750
(904) 375-8821

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
FL
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
0006403
FL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
OS6403
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
OS6403
FL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
OS6403
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1821142829
NPI
FL
01
1841673928
GROUP NPI
FL
Enumeration date
01/23/2007
Last updated
10/22/2025
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