NPI | 1295151330 |
---|---|
Other Name | DR. GEORGE RUCKER |
Entity Type | Organization |
Authorized Contact | GEORGE BINO RUCKER Medical Doctor 941-448-1199 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME82623) |
Enumeration Date | 2014-03-13 |
Last Update Date | 2014-03-13 |