SearchFlorida101YM0800X

Randolph Russ, M. A

NPI 1437326873 · on the registry since 2008 · sole proprietor

Practice

Address
2190 Sunderland Ave
Wellington, FL 33414
Phone
(561) 201-7180

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-04-24

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