Norris, Russell Leroy

Norris, Russell Leroy is an individual health care provider with primary practice located at 13000 Bruce B Downs Blvd Dept 123, Tampa FL 33612-4745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Norris, Russell Leroy can be contacted via phone (813) 978-5946.

Contact Information

Primary practice address
13000 Bruce B Downs Blvd Dept 123 Tampa FL 33612-4745
Phone: (813) 978-5946
Fax: (813) 978-5996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME55546 Florida

Profile Details

NPI number 1275509028
LBN Legal business name Norris, Russell Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Mar 27th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275509028 NPPES
Florida Other 14812 FL BCBS
Florida Other P00215747 FL BCBS

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