1790149516 KICK SOME MASS LLC
Public Health & General Preventive Medicine Physician
Active
Basic Information
- Organization Name
- KICK SOME MASS LLC
- Enumeration Date
- April 7, 2016
- Last Update
- October 10, 2016
- Authorized Official
- DR. JEFFREY ALLYN RUTERBUSCH D.O.
PHYSICIAN
Phone: (904) 589-0750
Practice Location
- Address
- 316 PARKRIDGE AVE
ORANGE PARK, FL 320657507 - Phone
- (904) 589-0750
- Fax
- (904) 375-8821
Mailing Address
- Address
- 316 PARKRIDGE AVE
ORANGE PARK, FL 320657507 - Phone
- (904) 589-0750
- Fax
- (904) 375-8821
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Nutritionist | 133N00000X | Nutritionist | N/A | N/A | No |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician Sports Medicine | 2081S0010X | Physical Medicine & Rehabilitation | OS6403 | FL | No |
| Preferred Provider Organization | 305R00000X | Preferred Provider Organization | OS6403 | FL | No |
| Public Health & General Preventive Medicine Physician Public Health & General Preventive Medicine | 2083P0901X | Preventive Medicine | OS6403 | FL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IP327A | 01 | FL | PTAN |
Frequently Asked Questions
What is KICK SOME MASS LLC's NPI number?
KICK SOME MASS LLC's NPI number is 1790149516.
Which doctor has NPI number 1790149516?
The doctor with NPI number 1790149516 is KICK SOME MASS LLC.
What is KICK SOME MASS LLC's practice address?
KICK SOME MASS LLC's practice address is 316 PARKRIDGE AVE, ORANGE PARK, FL, 320657507.
Which doctor practices at 316 PARKRIDGE AVE, ORANGE PARK, FL, 320657507?
KICK SOME MASS LLC practices at 316 PARKRIDGE AVE, ORANGE PARK, FL, 320657507.
What is KICK SOME MASS LLC's phone number?
KICK SOME MASS LLC's phone number is (904) 589-0750.
Who is (904) 589-0750?
(904) 589-0750 is the phone number for KICK SOME MASS LLC.
What is KICK SOME MASS LLC's specialty?
KICK SOME MASS LLC's specialty is Public Health & General Preventive Medicine Physician.
What type of doctor is KICK SOME MASS LLC?
KICK SOME MASS LLC is a Public Health & General Preventive Medicine Physician.
Is KICK SOME MASS LLC a Public Health & General Preventive Medicine?
Yes, KICK SOME MASS LLC is a Public Health & General Preventive Medicine.
Is KICK SOME MASS LLC still practicing?
Yes, KICK SOME MASS LLC is currently practicing.
Is KICK SOME MASS LLC accepting new patients?
KICK SOME MASS LLC may be accepting new patients. Please call their office at (904) 589-0750 to inquire about availability.
Is NPI 1790149516 still active?
Yes, NPI 1790149516 is currently active.
Where does KICK SOME MASS LLC practice?
KICK SOME MASS LLC practices in ORANGE PARK, FL.