Russo, Paul R.

Russo, Paul R. is an individual health care provider with primary practice located at 603 7Th St S Ste 450 , St Petersburg FL 33701-4741. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Russo, Paul R. can be contacted via phone (727) 527-5272.

Contact Information

Primary practice address
603 7Th St S Ste 450 St Petersburg FL 33701-4741
Phone: (727) 527-5272
Fax: (727) 522-7412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X APRN1955242 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X APRN1955242 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN1955242 Florida

Profile Details

NPI number 1194799098
LBN Legal business name Russo, Paul R.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Dec 5th, 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 1194799098 NPPES
Florida MEDICAID 108269700

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