Carol D Russell in W Melbourne - Physician Assistant
Carol D Russell - NPI 1336134865
Carol D Russell is a Physician Assistant in W Melbourne, Florida. Carol D Russell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carol D Russell is 1336134865. The last update date is 2022-08-26.
Carol D Russell's current location address is 1541 S Wickham Rd, W Melbourne, Florida. You can contact this provider via phone number 3217266331 and fax number 3217266371. The mailing address for Carol D Russell is 1541 S Wickham Rd, W Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Carol D Russell |
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Address | 1541 S Wickham Rd, W Melbourne, Florida |
Phone Number | 3217266331 |
Fax Number | 3217266371 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1336134865 |
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Provider Enumeration Date | 2005-09-12 |
Last Updated Date | 2022-08-26 |
Provider Mailing Address Detail
Address | 1541 S Wickham Rd |
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City | W Melbourne |
State | Florida (FL) |
Post Code | 329043540 |
Phone Number | 3217266331 |
Fax Number | 3217266371 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA2709 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Carol D Russell by the Centers for Medicare & Medicaid Services?
The Carol D Russell has been assigned the NPI (National Provider Identifier) 1336134865 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 Carol D Russell is located?
The Carol D Russell is situated at the following address: 1541 S Wickham Rd, W Melbourne, FL, 329043540.
What is Carol D Russell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Carol D Russell is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did Carol D Russell receive its 1336134865 assignment?
The Carol D Russell was assigned its 1336134865 on 2005-09-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Carol D Russell last refreshed?
The information related to the Carol D Russell, including its address, specialty, and other relevant details, was last updated on 2022-08-26.