Search › Florida › 207RC0200X
Charles Russell, MD
NPI 1922539857 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3 Shircliff Way Ste 625
Jacksonville, FL 32204 - Phone
- (904) 308-6900
- Fax
- (904) 308-6927
- Organisation at this address
- George L Mayer Md
Mielke Group, Inc.
Taolin C Jen Md Pa
Lenka Zachar Md Plc
Bruce A Hartwig Md PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 79
Additional practice sites
- 1 Tampa General Cir, Tampa, FL
- 2201 S. Sterling Street, Morganton, NC
- 2001 Kingsley Ave, Orange Park, FL
Registry record
- Primary taxonomy
- 207RC0200X
207RC0200X
- Also registered as
- 207RN0300X
390200000X
207R00000X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-01
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