Michelle Russo

NPI 1790546414 · on the registry since 2024

Practice

Address: 3650 Nw Devane St
Lake City, FL 32055
Phone: (386) 758-1811
Organisation at this address: Baptist Behavioral Health, Llc
Baptist Specialty Physicians Inc
Nemours Children'S Health, Lake City, Specialty Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 225XP0200X
225XP0200X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-01-19

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