Individual
DR. BARBARA ANN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 979-3615
Mailing address
16342 HEATHROW DR, TAMPA, FL 33647-2641
(813) 972-3141
(813) 972-3141
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME 51986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207VX0201X
TAXONOMY
FL
Enumeration date
08/14/2006
Last updated
07/08/2007
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