Individual
DR. CHARLES RAYFIELD RUSSELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 SHIRCLIFF WAY STE 625, JACKSONVILLE, FL 32204-4776
(904) 308-6900
(904) 308-6927
Mailing address
3 SHIRCLIFF WAY STE 625, JACKSONVILLE, FL 32204-4776
(904) 308-6900
(904) 308-6927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME152163
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME152163
FL
207RN0300X
Nephrology Physician
ME152163
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
04/01/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us