Individual
RUSS KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
10872 W COLONIAL DR, OCOEE, FL 34761-2981
(407) 656-8848
(407) 656-6901
Mailing address
3221 IBIS CT APT C, KISSIMMEE, FL 34741-4783
(904) 349-9089
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0002566
FL
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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