Rucker, Wilder Shawn

Rucker, Wilder Shawn is an sole proprietor health care provider with primary practice located at 3601 Sw 160Th Ave Ste 250 , Miramar FL 33027-6314. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Rucker, Wilder Shawn can be contacted via phone (877) 866-7123.

Contact Information

Primary practice address
3601 Sw 160Th Ave Ste 250 Miramar FL 33027-6314
Phone: (877) 866-7123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 264414 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 000-26-4414 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 264414 New York

Profile Details

NPI number 1235403742
LBN Legal business name Rucker, Wilder Shawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2012
Last updated Mar 13th, 2026 - about 8 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.

Request for update

Popular Providers