Individual
RUSSELL W AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5741 BEE RIDGE ROAD, SUITE 100, SARASOTA, FL 34233
(941) 342-1303
Mailing address
1613 N. HARRISON PARKWAY SUITE 200, MAILSTOP SH-9A, SUNRISE, FL 33323-2896
(954) 838-2371
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OS 7002
FL
207L00000X
Anesthesiology Physician
Primary
OS7002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256446700
—
FL
Enumeration date
05/23/2006
Last updated
07/01/2014
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