Individual
DR. DANIEL HUGH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 NW 12TH AVE BLDG 4088, MIAMI, FL 33136-1003
(305) 243-7284
Mailing address
1400 NW 12TH AVE BLDG 4088, MIAMI, FL 33136-1003
(305) 243-7284
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0101249134
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME149058
FL
Other
Enumeration date
06/06/2013
Last updated
07/06/2021
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