Russell Bourne, PH.D

NPI 1134166762 · on the registry since 2006

Practice

Address: 1025 Military Trl
Suite 113
Jupiter, FL 33458
Phone: (561) 748-2889
Fax: (561) 748-1523
Organisation at this address: Vell Llc
Jupiter Drugs Llc
Marianna Zadov, P.A
Mark W. Gocke Md, Pa
Cranial Technologies, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 25

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida