Stapleton, Russell B
Stapleton, Russell B is an individual health care provider with primary practice located at 820 Prudential Dr Suite 112, Jacksonville FL 32207-8210. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Stapleton, Russell B can be contacted via phone (904) 396-5996.Contact Information
Primary practice address
820 Prudential Dr Suite 112
Jacksonville FL 32207-8210
Phone: (904) 396-5996
Fax: (904) 398-2480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME69903 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME69903 | Florida |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | ME69903 | Florida |
Profile Details
| NPI number | 1265498976 |
|---|---|
| LBN Legal business name | Stapleton, Russell B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Nov 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265498976 | NPPES |
| Florida | Other | 060071306 | RAILROAD MEDICARE |
| Florida | MEDICAID | 250604100 | RAILROAD MEDICARE |
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