Jennings, Russell W

Jennings, Russell W is an individual health care provider with primary practice located at 601 5Th St S , St Petersburg FL 33701-4804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Jennings, Russell W can be contacted via phone (727) 767-4170.

Contact Information

Primary practice address
601 5Th St S St Petersburg FL 33701-4804
Phone: (727) 767-4170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 79209 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 79209 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X ME153478 Florida

Profile Details

NPI number 1215956701
LBN Legal business name Jennings, Russell W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 27th, 2022 - about 2 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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