Brett Walter Russi, MD
Pediatrics, Pediatric Critical Care Medicine in St Petersburg, FL. Individual provider (NPI-1).
NPI number1891290185
StatusActive
Last updated in NPPESNov 4, 2024
Details
- NPI
- 1891290185
- Entity type
- Individual (NPI-1)
- Name
- Brett Walter Russi
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2018
- Certification date
- Nov 4, 2024
- Last updated
- Nov 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | ME148663 | FL | Yes |
Practice location
601 5th St SSt Petersburg, FL 33701-4804
Phone 727-767-4170 · Fax 727-767-4346
Mailing address
601 5th St SSt Petersburg, FL 33701-4804
Phone 727-767-4170 · Fax 727-767-4346
Other practice locations
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Tampa, FL 33606-3438
Phone 813-259-8725
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