Individual provider · Type 1 NPI

Victor Russo

Driver · Groveland, FL

NPI number 1174091714 Active

Practice location

15430 County Road 565A # Mailboxv
Groveland, FL 34736-8242

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1174091714

Victor Russo's National Provider Identifier is 1174091714, issued on Nov 12, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Groveland, FL. The record was last updated on Nov 12, 2018.