MR. SEAN MICHAEL RUSSO CPO
NPI 1063664605
Specialist in St Petersburg, FL

Active since October 15, 2008
3611 5TH AVE N, ST PETERSBURG, FL 33713(727) 327-3332(727) 327-7304 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Sean Michael Russo Cpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SEAN MICHAEL RUSSO CPO (NPI 1063664605) is an individual specialist in St Petersburg, Florida, licensed in Florida (POR177) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1063664605
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. SEAN MICHAEL RUSSOCredential: CPO
Location Address3611 5TH AVE NSt Petersburg, FL 33713-7503
Mailing Address3611 5th Ave NSt Petersburg, FL 33713-7503 · (727) 327-3332 · Fax (727) 327-7304
Fax(727) 327-7304
Sole ProprietorNo
Enumeration DateOctober 15, 2008
NPI 1063664605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · POR177
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3611 5TH AVE N, St Petersburg, FL 33713

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Prosthetic/Orthotic Supplier
3611 5TH AVE N
ST PETERSBURG, FL 33713
Specialist
3611 5TH AVE N
ST PETERSBURG, FL 33713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean Russo's NPI number?

The NPI number for Sean Russo is 1063664605. It was assigned to this individual provider in the NPPES registry on October 15, 2008.

Where is Sean Russo located?

Sean Russo practices at 3611 5th Ave N, St Petersburg, FL 33713. The listed phone number is (727) 327-3332.

What is Sean Russo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Sean Russo was last updated on October 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.