Charles Damin Russo in Fort Lauderdale - Cardiovascular Disease

Charles Damin Russo - NPI 1588633614

Charles Damin Russo is a Cardiovascular Disease in Fort Lauderdale, Florida. Charles Damin Russo practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Charles Damin Russo is 1588633614. The last update date is 2023-03-07.

Charles Damin Russo's current location address is 4725 N Federal Hwy, Fort Lauderdale, Florida. You can contact this provider via phone number 9547722136 and fax number 9547727156. The mailing address for Charles Damin Russo is 4725 N Federal Hwy, Fort Lauderdale, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Damin Russo
Address 4725 N Federal Hwy, Fort Lauderdale, Florida
Phone Number 9547722136
Fax Number 9547727156
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1588633614
Provider Enumeration Date 2006-03-14
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 4725 N Federal Hwy
City Fort Lauderdale
State Florida (FL)
Post Code 33308
Phone Number 9547722136
Fax Number 9547727156

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No ME0046573
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10D02884498 FL CLIA

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FAQs about Charles Damin Russo

What is the unique 10-digit identification code issued to Charles Damin Russo by the Centers for Medicare & Medicaid Services?

The Charles Damin Russo has been assigned the NPI (National Provider Identifier) 1588633614 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Charles Damin Russo is located?

The Charles Damin Russo is situated at the following address: 4725 N Federal Hwy, Fort Lauderdale, FL, 33308.

What is the Charles Damin Russo's area of specialization and corresponding taxonomy classification?

The Charles Damin Russo's specialty field is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their specialties.

On what date was the 1588633614 assigned to Charles Damin Russo?

The Charles Damin Russo was issued its 1588633614 on 2006-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Charles Damin Russo last refreshed?

The information related to the Charles Damin Russo, including its address, specialty, and other relevant details, was last updated on 2023-03-07.

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