IndividualActive
Christian Russo
NPI 1700715588 · Critical Care Medicine Registered Nurse · Fort Myers, FL
Provider details
- NPI number
- 1700715588
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9698486 (FL)
Specialties & taxonomies
Nursing Service Providers
Practice location
3760 Crofton Ct
Fort Myers, FL 33916-7994
Phone: (774) 261-3438
Approximate (ZIP-level) locationGet directions
Mailing address
3760 Crofton Ct
Fort Myers, FL 33916-7994
Registry dates
- Enumerated
- 2026-05-18
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.