RUSSELL SCOTT AVERA

JACKSONVILLE, FL
NPI1730174814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP2950242)
Enumeration Date2005-09-15
Last Update Date2020-03-10
Business Address
RUSSELL SCOTT AVERA CRNA
4800 BELFORT ROAD
JACKSONVILLE, FL 32256
Phone number: 904-265-4801
Mailing Address
RUSSELL SCOTT AVERA CRNA
PO BOX 73709
NEWNAN, GA 30271-3709
Phone number: 770-251-2060
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