Patti, Russell Anthony
Patti, Russell Anthony is an individual health care provider with primary practice located at 1707 Nw Saint Lucie West Blvd Ste 166 , Port Saint Lucie FL 34986-2520. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Patti, Russell Anthony can be contacted via phone (772) 446-1100.Contact Information
Primary practice address
1707 Nw Saint Lucie West Blvd Ste 166
Port Saint Lucie FL 34986-2520
Phone: (772) 446-1100
Fax: (772) 489-3797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PS30759 | Florida |
Profile Details
| NPI number | 1205963022 |
|---|---|
| LBN Legal business name | Patti, Russell Anthony |
| Credentials | RPH. NP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jan 20th, 2021 - about 5 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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