Juliette Adelle Russo, PA-C
Physician Assistant in Fort Walton Beach, FL. Individual provider (NPI-1).
NPI number1982575262
StatusActive
Last updated in NPPESJul 14, 2026
Details
- NPI
- 1982575262
- Entity type
- Individual (NPI-1)
- Name
- Juliette Adelle Russo
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2025
- Certification date
- Jul 14, 2026
- Last updated
- Jul 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9120802 | FL | Yes |
Practice location
1046 Mar Walt Dr Ste 200Fort Walton Beach, FL 32547-6645
Phone 850-243-2229
Mailing address
1046 Mar Walt Dr Ste 200Fort Walton Beach, FL 32547-6645
Phone 850-243-2229
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All 42 Physician Assistant providers in Fort Walton Beach · All 1,854 providers in Fort Walton Beach
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