Dr. Jeffrey Allyn Ruterbusch, D.O.
Preventive Medicine, Public Health & General Preventive Medicine in Orange Park, FL. Individual provider (NPI-1).
NPI number1821142829
StatusActive
Last updated in NPPESOct 22, 2025
Details
- NPI
- 1821142829
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey Allyn Ruterbusch
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2007
- Certification date
- Oct 22, 2025
- Last updated
- Oct 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | OS6403 | FL | Yes |
| 207QS0010X | Family Medicine, Sports Medicine | os6403 | FL | |
| 204D00000X | Neuromusculoskeletal Medicine & OMM | OS6403 | FL | |
| 133N00000X | Nutritionist | – | FL | |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 0006403 | FL |
Practice location
316 Parkridge AveOrange Park, FL 32065-7507
Phone 904-589-0750 · Fax 904-375-8821
Mailing address
316 Parkridge AveOrange Park, FL 32065-7507
Phone 904-589-0750 · Fax 904-375-8821
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