Individual
RUSSELL LEROY NORRIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, DEPT 123, TAMPA, FL 33612-4745
(813) 978-5946
(813) 978-5996
Mailing address
5307 CANNERY CT, TAMPA, FL 33647-1018
(813) 349-5002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME55546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14812
FL BCBS
FL
01
—
P00215747
MEDICARE RAILROAD
FL
Enumeration date
02/23/2006
Last updated
03/27/2008
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