Hunter, Randolph Gray
Hunter, Randolph Gray is an sole proprietor health care provider with primary practice located at 1934 Salk Ave , Tavares FL 32778-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Hunter, Randolph Gray can be contacted via phone (352) 742-2201.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 0075959 | Florida |
Profile Details
| NPI number | 1033106422 |
|---|---|
| LBN Legal business name | Hunter, Randolph Gray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Aug 7th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033106422 | NPPES |
| Florida | MEDICAID | 2553716-00 |
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