Rucker, Angela Marie

Rucker, Angela Marie is an sole proprietor health care provider with primary practice located at 4549 Banneka St , Orlando FL 32811-4862. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Attendant Care Provider. Nursing Service Related Providers / Adult Companion is her primary health care specialty. Rucker, Angela Marie can be contacted via phone (321) 872-5782.

Contact Information

Primary practice address
4549 Banneka St Orlando FL 32811-4862
Phone: (321) 872-5782
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1033549340
LBN Legal business name Rucker, Angela Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2013
Last updated Nov 22nd, 2013 - about 11 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033549340 NPPES
Florida MEDICAID 009899400

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