Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annalee Santos Russ, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1750855649

Annalee Santos Russ, PHYSICIANASSISTANT is a Physician Assistant in Summerfield, Florida. Qualified in 2018, 8 years ago. Practices with Central Florida Spine Institute, PLLC - Summerfield, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2019

Practice location Address checks out

17820 SE 109th Ave Ste 108
Summerfield, FL 34491-8968
Phone: (352) 693-2340
Fax: (352) 693-2345
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9111964 (FL)

Record details

NPI number1750855649
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 14, 2019
Last updated in NPPESJanuary 14, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Central Florida Spine Institute, Pllc - Summerfield — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Summerfield