Individual
RUSSELL SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5924
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102208378
VA
208000000X
Pediatrics Physician
02007801A
IN
208000000X
Pediatrics Physician
25439
NH
208000000X
Pediatrics Physician
34.016517
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
OS13106
FL
208M00000X
Hospitalist Physician
02007801A
IN
208M00000X
Hospitalist Physician
OS13106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014 526 800
—
FL
Enumeration date
08/17/2006
Last updated
11/11/2025
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