Clifford, Russell J

Clifford, Russell J is an individual health care provider with primary practice located at 6701 38Th Ave N , St. Petersburg FL 33710-1536. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Clifford, Russell J can be contacted via phone (727) 384-4111.

Contact Information

Primary practice address
6701 38Th Ave N St. Petersburg FL 33710-1536
Phone: (727) 384-4111
Fax: (727) 343-4803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT15543 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Florida

Profile Details

NPI number 1154364180
LBN Legal business name Clifford, Russell J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 10th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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