MRS. Carol D Russell, PA-C is a medical physician assistant in Viera, FL. MRS. Carol D Russell, PA-C NPI is 1336134865. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
SPACE COAST VOLUNTEERS IN MEDICINE
2555 JUDGE FRAN JAMIESON WAY
VIERA, FL
ZIP 32940
Phone: (321) 639-5813
Fax: (321) 637-7312
The NPI 1336134865 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/12/2005 and was last updated on 1/26/2024.