Renee Marie Russo

NPI #1528372232 in Spring Hill, Florida

Provider Information

NPI Number: 1528372232
Entity Type: Individual
Name: Renee Marie Russo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 5, 2010
Last Updated: Aug 5, 2010

Practice Location

Address: 3535 PORTILLO RD APT 10
City: Spring Hill
State: Florida
ZIP Code: 34608-7274
Phone: (352) 942-4723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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