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

Individual provider Medical Physician Assistant · NPI 1699846469

Mrs. Amy Faith Russo, PA is a Medical Physician Assistant in Longwood, Florida. Practices as a sole proprietor. Licensed in Florida.

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

1908 Boothe Cir
Longwood, FL 32750-6774
Phone: (407) 331-7007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9100889 (FL)

Record details

NPI number1699846469
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 8, 2007

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