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Antrecia Russell
NPI 1902654296 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2459 Norwood Pl
Tavares, FL 32778 - Phone
- (863) 808-8086
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-10
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