Search › Florida › 363AM0700X
Carol Russell, PA-C
NPI 1336134865 · on the registry since 2005
Practice
- Address
- Space Coast Volunteers In Medicine
2555 Judge Fran Jamieson Way
Viera, FL 32940 - Phone
- (321) 639-5813
- Fax
- (321) 637-7312
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
363AM0700X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-26
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