Organization
SUNCOAST ALLERGY & ASTHMA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJIVI RUCKER M.D. (OWNER/PRESIDENT)
(941) 758-0588
Entity
Organization
Contact information
Practice address
6124 53RD AVE E, BRADENTON, FL 34203-9707
(941) 758-0588
(941) 739-3564
Mailing address
6124 53RD AVE E, BRADENTON, FL 34203-9707
(941) 758-0588
(941) 739-3564
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
FL
Other
Enumeration date
10/08/2006
Last updated
08/22/2020
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