Rucker, Theresa Renee

Rucker, Theresa Renee is an individual health care provider with primary practice located at 2900 Veterans Way , Viera FL 32940-8007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Rucker, Theresa Renee can be contacted via phone (321) 637-3788.

Contact Information

Primary practice address
2900 Veterans Way Viera FL 32940-8007
Phone: (321) 637-3788
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2203 Florida

Profile Details

NPI number 1356391882
LBN Legal business name Rucker, Theresa Renee
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 13th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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