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

David Russo, PA

Individual provider Physician Assistant · NPI 1427072685

David Russo, PA is a Physician Assistant in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone: (863) 687-1132
Fax: (863) 687-1439
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA0002344 (FL)

Record details

NPI number1427072685
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 8, 2007
Mailing address4850 Lake Juliana Reserve, Auburndale, FL 33823-5102

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