Provider Demographics
NPI:1790405413
Name:TOP FLIGHT PSYCHIATRY
Entity Type:Organization
Organization Name:TOP FLIGHT PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:RUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:321-356-0099
Mailing Address - Street 1:517 2ND STREET
Mailing Address - Street 2:UNIT B
Mailing Address - City:CEDAR KEY
Mailing Address - State:FL
Mailing Address - Zip Code:32625
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:517 2ND STREET
Practice Address - Street 2:UNIT B
Practice Address - City:CEDAR KEY
Practice Address - State:FL
Practice Address - Zip Code:32625
Practice Address - Country:US
Practice Address - Phone:321-356-0099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty