Russo, Charles Damin

Russo, Charles Damin is an individual health care provider with primary practice located at 4725 N Federal Hwy Suite 401, Fort Lauderdale FL 33308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Russo, Charles Damin can be contacted via phone (954) 772-2136.

Contact Information

Primary practice address
4725 N Federal Hwy Suite 401 Fort Lauderdale FL 33308
Phone: (954) 772-2136
Fax: (954) 772-7156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME0046573 Florida

Profile Details

NPI number 1588633614
LBN Legal business name Russo, Charles Damin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 7th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1588633614 NPPES
Florida Other 10D02884498 CLIA

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