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Anthony Russo, PTA
NPI 1861990657 · on the registry since 2018
Practice
- Address
- 2300 Park Ave Ste 203
Orange Park, FL 32073 - Phone
- (904) 634-0640
- Fax
- (904) 634-0203
- Organisation at this address
- Seton Pharmacy Inc
The Smart Group, Llc
Lifetime Medical Care Pa
Se Orthopedic Specialists
Drs. Mcclow, Clark & Berk PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 29
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-01-26
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