Individual
EDUARDO CLEAVON RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
18002 RICHMOND PLACE DR, APT# 2425, TAMPA, FL 33647-1724
(813) 748-9474
Mailing address
18002 RICHMOND PLACE DR, APT# 2425, TAMPA, FL 33647-1724
(813) 748-9474
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
134686
FL
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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