Individual provider · Type 1 NPI

Rikkita Russell, PA-C

Surgical Physician Assistant · Miami, FL

NPI number 1104060235 Active

Practice location

8900 SW 117th Ave, Suite B104
Miami, FL 33186-2175

Fax (786) 263-0179

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9104888 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1104060235

Rikkita Russell, PA-C's National Provider Identifier is 1104060235, issued on Apr 20, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Miami, FL. The record was last updated on Jun 3, 2021.