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Dr. Fred E Russo, DC
Chiropractor in Tallahassee, Florida
NPI 1689840118

Fred E Russo is a Chiropractor based in Tallahassee, FL. Fred E Russo practices in Tallahassee, FL and has the professional credentials of DC. The NPI Number for Fred E Russo is 1689840118 and holds a License No. CH0006439 (Florida).

The current practice location address for Fred E Russo is 3689 Coolidge Ct Unit 7, Tallahassee, FL and can be reached out via phone at 850-422-2225 and via fax at 850-391-4661.

Location: 3689 Coolidge Ct Unit 7, Tallahassee, FL, 32311-7912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689840118
Provider Name
Fred E Russo
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3689 Coolidge Ct Unit 7, Tallahassee, FL, 32311-7912
Phone Number
850-422-2225
Fax Number
850-391-4661
Provider Enumeration Date
05/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22778B 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3689 Coolidge Ct Unit 7
City
Tallahassee
State
Florida
Zip
32311-7912
Phone Number
850-422-2225
Fax Number
850-391-4661
person
Provider Business Mailing Address Details
Address
3689 Coolidge Ct Unit 7
City
Tallahassee
State
Florida
Zip
32311-7912
Phone Number
850-422-2225
Fax Number
850-391-4661
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH0006439 (Florida)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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