Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Rucker II, PA-C

Individual provider Surgical Physician Assistant · NPI 1083107965

Mr. Michael Rucker II, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2018, 8 years ago. Practices with Cardiothoracic and Vascular Surgical Associates PA, a 85-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1824 King St Ste 200
Jacksonville, FL 32204
Phone: (904) 384-3343
Fax: (904) 400-6671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9111567 (FL)

Record details

NPI number1083107965
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 14, 2018
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cardiothoracic And Vascular Surgical Associates Pa — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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