MR. PAUL R. RUSSO ARNP NPI 1194799098

NPI Information

  • NPI: 1194799098
  • Provider Name: MR. PAUL R. RUSSO, ARNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 603 7TH ST S STE 450
    ST PETERSBURG, FL
    ZIP 33701
  • Phone: (727) 527-5272

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NPI Details

MR. Paul R. Russo, ARNP is an adult health nurse practitioner in St Petersburg, FL with 15 years of experience. MR. Paul R. Russo, ARNP NPI is 1194799098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

603 7TH ST S STE 450
ST PETERSBURG, FL
ZIP 33701-741
Phone: (727) 527-5272
Fax: (727) 522-7412

The NPI 1194799098 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/15/2006 and was last updated on 8/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthAPRN1955242FLORIDAYes
2364SM0705XClinical Nurse SpecialistMedical-SurgicalAPRN1955242FLORIDANo
3364S00000XClinical Nurse SpecialistAPRN1955242FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1108269700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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