Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUSSELL WAYNE TOLLIVER
Active Sole ProprietorMR. RUSSELL WAYNE TOLLIVER is a Skilled Nursing Facility healthcare provider located in JACKSONVILLE, Florida. NPI 1972796175 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1972796175
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2007 (18.94342780181 yrs)
- Last Updated
- Aug 21, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
4083 SUNBEAM RDAPARTMENT 1409JACKSONVILLE, FL, 322578993Browse FL providers · Browse ZIP 32257
- Phone
- 9047331338
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Other Skilled Nursing Facility Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| TERRI VELINDA VIRGIL | — | 1508138678 |
| MR. EDWIN BATO | OTR/L | 1376955377 |
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.