SearchFloridaMedical Physician Assistant

Carol Russell, PA-C

NPI 1336134865 · on the registry since 2005

Practice

Address
Space Coast Volunteers In Medicine
2555 Judge Fran Jamieson Way
Viera, FL 32940
Phone
(321) 639-5813
Fax
(321) 637-7312

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Also registered as
Physician Assistant
Medical Physician Assistant
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-26

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