Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CAROL D RUSSELL, PA-C
ActiveMRS. CAROL D RUSSELL, PA-C is a Medical Physician Assistant healthcare provider located in VIERA, Florida. NPI 1336134865 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · VIERA, FL
Registration Details
- NPI Number
- 1336134865
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2005 (20.914191371332 yrs)
- Last Updated
- Jan 26, 2024
- Licenses
-
PA2709 (FL)PA2709 (FL)LL861 (FL)
Practice Information
- Address
-
SPACE COAST VOLUNTEERS IN MEDICINE2555 JUDGE FRAN JAMIESON WAYVIERA, FL, 32940Browse FL providers · Browse ZIP 32940
- Phone
- 3216395813
- Fax
- 3216377312
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in VIERA, FL
| Name | Credential | NPI |
|---|---|---|
| MS. ALLISON ANNE RACO | PAC | 1548246606 |
| MS. GAIL E BENNETT | PA-C | 1780652784 |
| MR. MICHAEL ANTHONY DIMARIA | PA-C | 1245290337 |
| MR. BRADLEY GUY BOWERS | PA-C | 1821059601 |
| MRS. THERESA RENEE RUCKER | PA | 1356391882 |
| MR. LINUS AUGUSTUS | PA-C | 1457303406 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.