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

Russell Raymond Jaicks, MD

Individual provider Surgery Physician · NPI 1184727414

Russell Raymond Jaicks, MD is a Surgery Physician in Kissimmee, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

720 W Oak St Ste 101
Kissimmee, FL 34741-4989
Phone: (407) 846-3166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME113621 (FL)

Record details

NPI number1184727414
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 5, 2006
Last updated in NPPESApril 18, 2013

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