MRS. Carol D Russell, PA-C

NPI #1336134865 in Viera, Florida

Provider Information

NPI Number
1336134865
Entity Type
Individual
Name
MRS. Carol D Russell, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Sep 12, 2005
Last Updated
Jan 26, 2024

Practice Location

Address
SPACE COAST VOLUNTEERS IN MEDICINE
Address 2
2555 JUDGE FRAN JAMIESON WAY
City
Viera
State
Florida
ZIP Code
32940
Phone
(321) 639-5813

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - MedicalMedical

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