Bugnon, Randy

Bugnon, Randy is an individual health care provider with primary practice located at 4101 Southpoint Dr E , Jacksonville FL 32216-0996. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Bugnon, Randy can be contacted via phone (904) 296-6800.

Contact Information

Primary practice address
4101 Southpoint Dr E Jacksonville FL 32216-0996
Phone: (904) 296-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 15990 Florida

Profile Details

NPI number 1184144917
LBN Legal business name Bugnon, Randy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2017
Last updated Jun 22nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184144917 NPPES
Florida Other 15990 COTA

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