Individual
DR. DANIELA E RUSOVICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5005 PORT ST JOHN PKWY, SUITE 2200, PORT ST JOHN, FL 32927-4305
(321) 633-8660
(321) 633-8617
Mailing address
7075 N US HIGHWAY 1, SUITE 150, PORT ST JOHN, FL 32927-5216
(321) 268-6264
(321) 633-8617
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
ME103609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002534800
—
FL
Enumeration date
12/01/2006
Last updated
02/13/2015
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