Individual
MR. RUSSELL F. AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
60 COLUMBIA ST STE 400, ORLANDO, FL 32806-1115
(321) 843-5851
(321) 843-7381
Mailing address
60 COLUMBIA ST STE 400, ORLANDO, FL 32806-1115
(321) 843-5851
(321) 843-7381
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9102289
FL
363AM0700X
Medical Physician Assistant
PA9102289
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9102289
FL
Other
Enumeration date
07/14/2005
Last updated
11/03/2025
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