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Individual
RENE DENISE RUSSAKIS
Active
Individual
RENE DENISE RUSSAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN2508992
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306205800
—
FL
01
—
G3427
BC/BS
—
Enumeration date
11/02/2005
Last updated
03/20/2023
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