Individual
FRANK M. RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5352 LINTON BLVD., DELRAY BEACH, FL 33484-6514
(561) 498-1754
(561) 327-2674
Mailing address
P.O. BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME78954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277019900
—
FL
01
—
58400
BLUE CROSS
FL
Enumeration date
01/23/2006
Last updated
03/21/2016
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