Carol D Russell is a Medical in W Melbourne, Florida. Carol D Russell practices all healthcare services and medical treatments related to Medical. 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 2005-09-12 |
| Last Updated Date | 2022-08-26 |
Provider Mailing Address Detail
| Address | 1541 S Wickham Rd |
|---|---|
| City | W Melbourne |
| State | Florida (FL) |
| Post Code | 329043540 |
| Phone Number | 3217266331 |
| Fax Number | 3217266371 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA2709 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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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 Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
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.