Search › Florida › 363L00000X
Jackie Russo, NP
NPI 1134643315 · on the registry since 2017
Practice
- Address
- 12600 Pembroke Rd Ste 310
Miramar, FL 33027 - Phone
- (954) 431-7681
- Fax
- (954) 431-7682
- Organisation at this address
- Dermasurgeons Pa
The Derm Group Llp
Innovative Care Inc
Jc Rodriguez Md Llc
Dennis A Cortes Md PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Additional practice sites
- 7150 W 20th Ave Ste 210, Hialeah, FL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-02
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