Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Wilder Shawn Rucker, MD

Individual provider Surgery Physician · NPI 1235403742

Dr. Wilder Shawn Rucker, MD is a Surgery Physician in Miramar, Florida. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3601 SW 160th Ave Ste 250
Miramar, FL 33027-6314
Phone: (877) 866-7123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 000-26-4414 (NY)
Surgery Physician Taxonomy 208600000X · Licence 264414 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 264414 (NY)

Record details

NPI number1235403742
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 1, 2012
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

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