Russo-Going, Penni M

Russo-Going, Penni M is an individual health care provider with primary practice located at 3601 Sw 160Th Ave Suite #250, Miramar FL 33027-6308. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Russo-Going, Penni M can be contacted via phone (305) 866-9951.

Contact Information

Primary practice address
3601 Sw 160Th Ave Suite #250 Miramar FL 33027-6308
Phone: (305) 866-9951
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X M0549 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X M0549 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M0549 Texas

Profile Details

NPI number 1942282652
LBN Legal business name Russo-Going, Penni M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Apr 1st, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942282652 NPPES
Texas MEDICAID 1749160-01

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