Individual
DR. GIANELLA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(305) 223-3000
Mailing address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(305) 223-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME134853
FL
Other
Enumeration date
04/04/2013
Last updated
10/18/2018
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