Russell R Addeo PHD

NPI 1689698144 - Clinical Neuropsychologist - 103G00000X

NPI Details
NPI 1689698144
Gender Male
Enumeration Date 07/27/2006
Last Updated 03/03/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3901 UNIVERSITY BLVD S
JACKSONVILLE FL, 32216-4312, US
Phone (904) 858-7216
Fax (904) 858-7255
Business Location
11735 GLACIER BAY DR
JACKSONVILLE FL, 32256-2989, US
Phone
Fax
Toxanomy
Taxonomy Code 103G00000X
License State Florida
License Number PY5570
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According to our database, Russell R Addeo PHD NPI is 1689698144, taxonomy code is 103G00000X and license number is PY5570, license state is located at Florida. Russell R Addeo PHD physically located at 3901 University Blvd S, Jacksonville FL, 32216-4312. NPI Number Russell R Addeo PHD has the Individual type.

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1689698144 NPI number is provided on an as is basis without warranty of any kind. 1689698144 is maintained by the National Plan & Provider Enumeration System. The contents of Russell R Addeo PHD are for informational purposes only.