Russell, Justin Lee

Russell, Justin Lee is an sole proprietor health care provider with primary practice located at 11505 Rangeland Pkwy , Bradenton FL 34211-4041. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Russell, Justin Lee can be contacted via phone (941) 362-8662.

Contact Information

Primary practice address
11505 Rangeland Pkwy Bradenton FL 34211-4041
Phone: (941) 362-8662
Fax: (941) 362-8602
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1710539416
LBN Legal business name Russell, Justin Lee
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2019
Last updated May 7th, 2020 - about 6 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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