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Paola Russo, PA-C

Physician Assistant in Weston, FL. Individual provider (NPI-1).

NPI number1982122180
StatusActive
Last updated in NPPESMar 9, 2026

Details

NPI
1982122180
Entity type
Individual (NPI-1)
Name
Mrs. Paola Russo
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Sep 7, 2017
Certification date
Mar 9, 2026
Last updated
Mar 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA9110681FLYes

Practice location

3100 Weston Rd
Weston, FL 33331-3602

Phone 954-659-5000

Mailing address

8905 Sw 87th Ave Ste 100
Miami, FL 33176-2210

Phone 305-667-8686 · Fax 305-667-8680

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