Annalee Santos Russ, PHYSICIAN ASSISTANT
NPI #1750855649 in Summerfield, Florida
Provider Information
- NPI Number
- 1750855649
- Entity Type
- Individual
- Name
- Annalee Santos Russ, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Jan 14, 2019
- Last Updated
- Jan 14, 2019
Practice Location
- Address
- 17820 SE 109TH AVE STE 108
- City
- Summerfield
- State
- Florida
- ZIP Code
- 34491-8968
- Phone
- (352) 693-2340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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