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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES RAYFIELD RUSSELL III, M.D.

Active Sole Proprietor

DR. CHARLES RAYFIELD RUSSELL III, M.D. is a Critical Care Medicine healthcare provider located in JACKSONVILLE, Florida. NPI 1922539857 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · JACKSONVILLE, FL

Registration Details

NPI Number
1922539857
Provider Type
Individual
Gender
Male
NPI Issued
Mar 22, 2017 (9.4154723723017 yrs)
Last Updated
Feb 26, 2026
Licenses
ME152163 (FL)
ME152163 (FL)
ME152163 (FL)
Sole Proprietor
Yes

Practice Information

Address
3 SHIRCLIFF WAY STE 625
JACKSONVILLE, FL, 322044776
Browse FL providers · Browse ZIP 32204
Phone
9043086900
Fax
9043086927
Primary Specialty
Critical Care Medicine
207RC0200X
Additional Specialty
Nephrology
Additional Specialty
Critical Care Medicine

Other Critical Care Medicine Providers in JACKSONVILLE, FL

Name Credential NPI
GAVIN DOUGLAS DIVERTIE MD 1073500369
DR. SANFORD JOSPEH FINCK M.D. 1316935190
MICHELLE FREEMAN MD 1285624114
DR. JOSEPH R SHIBER MD 1437130184
NEAL PATEL MD 1104809490
DR. JESUS ANTONIO DIAZ MD 1326009515
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.