Nicholas Russo
Nicholas Russo is a Student in an Organized Health Care Education/Training Program in Tampa, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1 Tampa General CirTampa, FL 33606-3571
Phone: (813) 844-7000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1912587718 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 14, 2021 |
| Last updated in NPPES | April 25, 2022 |
| Certification date | April 25, 2022 |
| Mailing address | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 |
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