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Robert Russell
NPI 1982352217 · on the registry since 2022
Practice
- Address
- 3790 Dairy Rd
Melbourne, FL 32904 - Phone
- (850) 294-1982
- Organisation at this address
- Space Coast Discovery, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-15
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