person
Justin Lee Russell, PA
Surgical Physician Assistant in Bradenton, Florida
NPI 1710539416

Justin Lee Russell is a Surgical Physician Assistant based in Bradenton, FL and is specialized in Surgical. Justin Lee Russell practices in Bradenton, FL and has the professional credentials of PA. The NPI Number for Justin Lee Russell is 1710539416 and holds a License No. (Florida).

The current practice location address for Justin Lee Russell is 11505 Rangeland Pkwy, Bradenton, FL and can be reached out via phone at 941-362-8662 and via fax at 941-362-8602. You can also correspond with Justin Lee Russell through the mailing address at 11505 RANGELAND PKWY, BRADENTON, FL - 34211-4041 (mailing address contact number: 941-362-8662).

Location: 11505 Rangeland Pkwy, Bradenton, FL, 34211-4041
person
Provider Profile Details
NPI Number
1710539416
Provider Name
Justin Lee Russell
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
11505 Rangeland Pkwy, Bradenton, FL, 34211-4041
Phone Number
941-362-8662
Fax Number
941-362-8602
Provider Enumeration Date
07/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11505 Rangeland Pkwy
City
State
Zip
34211-4041
Phone Number
941-362-8662
Fax Number
941-362-8602
person
Provider Business Mailing Address Details
Address
11505 Rangeland Pkwy
City
State
Zip
34211-4041
Phone Number
941-362-8662
Fax Number
941-362-8602
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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