Individual
JESSICA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, MBA
Contact information
Practice address
400 CELEBRATION PL STE A110, CELEBRATION, FL 34747-4970
(407) 303-4639
(407) 303-4519
Mailing address
239 LONGVIEW AVE # 12207, CELEBRATION, FL 34747-5091
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PS64432
FL
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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