Kimmelman, Randy Scott

Kimmelman, Randy Scott is an individual health care provider with primary practice located at 3467 W Hillsboro Blvd Suite B, Deerfield Beach FL 33442-9473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kimmelman, Randy Scott can be contacted via phone (954) 574-0252.

Contact Information

Primary practice address
3467 W Hillsboro Blvd Suite B Deerfield Beach FL 33442-9473
Phone: (954) 574-0252
Fax: (954) 429-1759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS7449 Florida

Profile Details

NPI number 1730192964
LBN Legal business name Kimmelman, Randy Scott
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Nov 17th, 2020 - about 6 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 1730192964 NPPES
Florida MEDICAID 252588700
Florida Other 57516U
Florida Other 57516
Florida Other 241859

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