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Individual

DR. MARIA RUSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP, CPNP, PH.D

Contact information

Practice address
17709 GREY EAGLE RD, SAME, TAMPA, FL 33647-2261
(813) 994-7736
Mailing address
17709 GREY EAGLE RD, SAME, TAMPA, FL 33647-2261
(813) 994-7736

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2562902
FL

Other

Enumeration date
10/26/2006
Last updated
07/08/2007
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