RUSSELL MERRITTT HOSTETLER

TAMPA, FL
NPI1508132762
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME 60537)
Additional Taxonomies207Q00000X Family Medicine
(Licence: SC  MD 30287)
207Q00000X Family Medicine
(Licence: MD  D0069526)
207Q00000X Family Medicine
(Licence: MS  20137)
Enumeration Date2012-03-31
Last Update Date2023-03-07
Business Address
-- RUSSELL MERRITTT HOSTETLER M.D.
2514 W VIRGINIA AVE
TAMPA, FL 33607-6326
Phone number: 813-877-1370
Mailing Address
-- RUSSELL MERRITTT HOSTETLER M.D.
2514 W VIRGINIA AVE
TAMPA, FL 33607-6326
Phone number: 813-877-1370