MR. Sean Michael Russo, CPO

NPI #1063664605 in St Petersburg, Florida

Provider Information

NPI Number: 1063664605
Entity Type: Individual
Name: MR. Sean Michael Russo, CPO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: CPO
Enumeration Date: Oct 15, 2008
Last Updated: Oct 15, 2008

Practice Location

Address: 3611 5TH AVE N
City: St Petersburg
State: Florida
ZIP Code: 33713-7503
Phone: (727) 327-3332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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