Individual
MICHAEL SCOTT RUTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2015 JEFFERSON ST, JACKSONVILLE, FL 32206-3531
(904) 588-1800
(904) 588-1300
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN13991
FL
2085R0001X
Radiation Oncology Physician
Primary
ME119688
FL
Other
Enumeration date
06/04/2009
Last updated
04/29/2022
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