Justin D Russell
Justin D Russell is a Student in an Organized Health Care Education/Training Program in Belle Isle, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
3714 Rothbury DrBelle Isle, FL 32812-2213
Phone: (407) 902-1988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1699529354 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 17, 2024 |
| Last updated in NPPES | May 19, 2025 |
| Certification date | May 19, 2025 |
| Mailing address | 3714 Rothbury Dr, Belle Isle, FL 32812-2213 |