Wilder Shawn Rucker, MD

General Practice Physician · Miramar, FL

Individual Active NPI

NPI number 1235403742

Practice location

3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314
Phone
(877) 866-7123

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NPI record

NPI
1235403742
Entity type
Individual (Type 1)
Enumeration date
March 1, 2012
Last updated
March 13, 2026
Certified
March 13, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 000-26-4414 NY
Surgery Physician 208600000X 264414 NY
Family Medicine Physician 207Q00000X 264414 NY

Mailing address

1276 Dekalb Ave # 4a
Brooklyn, NY 11221-3204
Phone
(718) 490-0738

About Dr. Rucker

Wilder Shawn Rucker, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 3601 SW 160TH Ave Ste 250, Miramar, FL 33027-6314. The NPI number 1235403742 was assigned on March 1, 2012 and the record was last updated on March 13, 2026.

Dr. Rucker lists 3 licenses in the registry: #000-26-4414 (NY) for General Practice Physician; #264414 (NY) for Surgery Physician; #264414 (NY) for Family Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wilder Shawn Rucker, MD?

The NPI number is 1235403742.

What is the phone number of Dr. Rucker?

The phone number listed for the practice location is (877) 866-7123.

Where is Dr. Rucker located?

3601 SW 160TH Ave Ste 250, Miramar, FL 33027-6314.

What is the taxonomy code for Dr. Rucker?

The primary taxonomy code is 208D00000X – General Practice Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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