Theresa Renee Rucker in Melbourne - Medical

Theresa Renee Rucker - NPI 1356391882

Theresa Renee Rucker is a Medical in Melbourne, Florida. Theresa Renee Rucker practices all healthcare services and medical treatments related to Medical. The NPI Number for Theresa Renee Rucker is 1356391882. The last update date is 2007-07-08.

Theresa Renee Rucker's current location address is 1291 Harbor Town Cir, Melbourne, Florida. You can contact this provider via phone number 3217570409. The mailing address for Theresa Renee Rucker is 1291 Harbor Town Cir, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Theresa Renee Rucker
Address 1291 Harbor Town Cir, Melbourne, Florida
Phone Number 3217570409
Fax Number
Sole Proprietor X
Credentials PA

NPI Number Detail

NPI Number 1356391882
Provider Enumeration Date 2006-05-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1291 Harbor Town Cir
City Melbourne
State Florida (FL)
Post Code 329401912
Phone Number 3217570409
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 2203
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Theresa Renee Rucker

What is the unique 10-digit identification code issued to Theresa Renee Rucker by the Centers for Medicare & Medicaid Services?

The Theresa Renee Rucker has been assigned the NPI (National Provider Identifier) 1356391882 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Theresa Renee Rucker's physical address?

The Theresa Renee Rucker is physically located at 1291 Harbor Town Cir, in the city of Melbourne, FL, with the postal code 329401912.

What is Theresa Renee Rucker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Theresa Renee Rucker is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1356391882 to Theresa Renee Rucker?

The Centers for Medicare & Medicaid Services originally issued the 1356391882 to Theresa Renee Rucker on 2006-05-12.

As of what date was the information regarding Theresa Renee Rucker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Theresa Renee Rucker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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