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Benjamin Russell, AU.D

NPI 1063854529 · on the registry since 2013 · sole proprietor

Practice

Address
4202 E Fowler Ave
Pcd1017
Tampa, FL 33620
Phone
(813) 974-8804
Organisation at this address
University Of South Florida
University Of South Florida
Inferred from a shared address, not stated in the registry.
Clinicians at this address
116

Registry record

Primary taxonomy
231H00000X
231H00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida