Nicole Z Russo, CCC-SLP is a
Speech-language Pathologist based in Groveland, Florida. Nicole Z Russo is licensed to practice in Florida (license number SA10268) and her current practice location is
577 Blue Cypress Dr, Groveland, Florida. She can be reached at her office (for appointments etc.) via phone at
(843) 655-2665.
NPI number for Nicole Z Russo is 1710921234 and her current mailing address is 577 Blue Cypress Dr, Groveland, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710921234.
Healthcare Provider's Profile
Full Name | Nicole Z Russo |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 577 Blue Cypress Dr, Groveland, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710921234
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 11/27/2017
Medical Identifiers
Medical identifiers for Nicole Z Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710921234 | NPI | - | NPPES |
SA0624 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SA10268 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Z Russo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Z Russo, CCC-SLP 577 Blue Cypress Dr, Groveland, FL 34736-8111 Ph: (843) 655-2665 | Nicole Z Russo, CCC-SLP 577 Blue Cypress Dr, Groveland, FL 34736-8111 Ph: (843) 655-2665 |
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