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John Russell, M.D

NPI 1629061189 · on the registry since 2005 · sole proprietor

Practice

Address
315 Palm Coast Pkwy Ne
Suite 3
Palm Coast, FL 32137
Phone
(386) 447-4440
Fax
(386) 447-4446
Clinicians at this address
3

Registry record

Primary taxonomy
207X00000X
207X00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-08-22

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