Humphreys, Randall F

Humphreys, Randall F is an individual health care provider with primary practice located at 2401 St Andrews Blvd , Panama City FL 32405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Humphreys, Randall F can be contacted via phone (850) 785-2717.

Contact Information

Primary practice address
2401 St Andrews Blvd Panama City FL 32405
Phone: (850) 785-2717
Fax: (850) 785-2301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME59222 Florida

Profile Details

NPI number 1558336503
LBN Legal business name Humphreys, Randall F
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jan 27th, 2010 - about 16 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 1558336503 NPPES
Florida Other 12097 BCBS OF FLORIDA
Florida MEDICAID 052572300 BCBS OF FLORIDA

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