Individual
BRETT WALTER RUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-4170
(727) 767-4346
Mailing address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-4170
(727) 767-4346
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME148663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115074200
—
FL
01
—
LX4JN
BCBS
FL
Enumeration date
03/28/2018
Last updated
11/04/2024
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