Individual
MRS. HOLLY LYNN RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 366-1164
(941) 366-3123
Mailing address
1261 S TAMIAMI TRL, SARASOTA, FL 34239-2219
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9200296
FL
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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