RUSSELL SMITH

ORLANDO, FL
NPI1023557402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9110246)
Enumeration Date2017-02-17
Last Update Date2025-12-03
Business Address
Mr. RUSSELL SMITH PA-C
425 W. COLONIAL DR STE 303 PMB 451
ORLANDO, FL 32804
Phone number: 407-476-6040
Mailing Address
Mr. RUSSELL SMITH PA-C
425 W. COLONIAL DR STE 303 PMB 451
ORLANDO, FL 32804-6863
Phone number: 407-476-6040