Individual
BRITTNEY ANN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-5437
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6260
(239) 343-6259
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
OS21104
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122867800
—
FL
Enumeration date
03/29/2018
Last updated
08/09/2024
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