Search › Florida › 363L00000X
Jon Russell
NPI 1942998513 · on the registry since 2023
Practice
- Address
- 5123 4th Avenue Cir E
Bradenton, FL 34208 - Phone
- (941) 744-5510
- Organisation at this address
- Cooper Family Medical Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163WC0200X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-05
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