Individual
ANA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9333 SW 152ND ST, PALMETTO BAY, FL 33157-1778
(305) 256-5104
Mailing address
9333 SW 152ND ST, PALMETTO BAY, FL 33157-1778
(305) 256-5104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9214013
FL
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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