Individual
DR. LUIS FERNANDO SANCHEZ RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1101 N CENTRAL AVE, KISSIMMEE, FL 34741-4405
(407) 933-2210
(407) 933-6428
Mailing address
6850 LAKE NONA BLVD, ORLANDO, FL 32827-7408
(407) 266-1106
(407) 266-1199
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME160446
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2016
Last updated
05/24/2023
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