SAMANTHA RUSSO

ST PETERSBURG, FL
NPI1346837564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: FL  9113710)
Enumeration Date2020-12-22
Last Update Date2020-12-22
Business Address
SAMANTHA RUSSO PA-C
1607 DR MARTIN LUTHER KING JR ST N
ST PETERSBURG, FL 33704-4203
Phone number: 727-329-8833
Mailing Address
SAMANTHA RUSSO PA-C
9847 MONTAGUE ST
WESTCHASE, FL 33626-1863
Phone number: 239-595-4229
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