Dr. Luis Fernando Sanchez Russo, M.D
Internal Medicine, Nephrology in Kissimmee, FL. Individual provider (NPI-1).
NPI number1043661077
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1043661077
- Entity type
- Individual (NPI-1)
- Name
- Dr. Luis Fernando Sanchez Russo
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2016
- Certification date
- May 24, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | ME160446 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1101 N Central AveKissimmee, FL 34741-4405
Phone 407-933-2210 · Fax 407-933-6428
Mailing address
6850 Lake Nona BlvdOrlando, FL 32827-7408
Phone 407-266-1106 · Fax 407-266-1199
Other practice locations
4555 Pleasant Hill Rd
Kissimmee, FL 34759-3422
Kissimmee, FL 34759-3422
Phone 407-933-2210 · Fax 407-933-6428
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