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Organization

NEW TAMPA SURGICAL ASSISTANCE, LLC

Active
Other names
Eduardo Russ
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDUARDO CLEAVON RUSS CSFA (MANAGER)
(813) 748-9474
Entity
Organization

Contact information

Practice address
18002 RICHMOND PLACE DR, APT 2425, TAMPA, FL 33647-1724
(813) 748-9474
(813) 975-0175
Mailing address
18002 RICHMOND PLACE DR, APT 2425, TAMPA, FL 33647-1724
(813) 748-9474
(813) 975-0175

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
02/21/2014
Last updated
02/21/2014
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