Joseph Daniel Russell, DPT | |
912 American Eagle Blvd, Sun City Center, FL 33573-5228 | |
(813) 633-3066 | |
Not Available |
Full Name | Joseph Daniel Russell |
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Gender | Male |
Speciality | Physical Therapist |
Location | 912 American Eagle Blvd, Sun City Center, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194446625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 26655 (Florida) | Primary |
Provider Name | Qrm Plus Florida Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851061394 PECOS PAC ID: 8729479563 Enrollment ID: O20220105000497 |
Mailing Address | Practice Location Address |
---|---|
Joseph Daniel Russell, DPT 9912 Harold Bedford Rd, Riverview, FL 33578-7659 Ph: (813) 610-3618 | Joseph Daniel Russell, DPT 912 American Eagle Blvd, Sun City Center, FL 33573-5228 Ph: (813) 633-3066 |
Mrs. Zaida Liz Coronado, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 139 S Pebble Beach Blvd, Suite 203, Sun City Center, FL 33573 Phone: 813-633-5768 | |
Zachary Snyder, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 231 Courtyard Blvd, Sun City Center, FL 33573 Phone: 813-633-2378 | |
Janice Ward, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 912 American Eagle Blvd, Sun City Center, FL 33573 Phone: 813-633-3066 | |
Sydney Kay Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 741 Cortaro Dr, Sun City Center, FL 33573 Phone: 813-773-7273 | |
Michael James Boully Jr., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1513 Sun City Center Plz, Sun City Center, FL 33573 Phone: 813-634-6022 Fax: 813-634-6053 | |
Rehab Axis Staffing And Management, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 255 Courtyard Blvd, Sun City Center, FL 33573 Phone: 813-633-2887 Fax: 813-864-2671 |