| NPI | 1558786921 |
|---|---|
| Doing Business As | EDUARDO RUSS |
| Entity Type | Organization |
| Authorized Contact | EDUARDO CLEAVON RUSS Manager 813-748-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |