Orem, Randall Corey
Orem, Randall Corey is an individual health care provider with primary practice located at 295 Nw Peacock Blvd , Port Saint Lucie FL 34986-2212. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Orem, Randall Corey can be contacted via phone (800) 991-6117.Contact Information
Primary practice address
295 Nw Peacock Blvd
Port Saint Lucie FL 34986-2212
Phone: (800) 991-6117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | OH340038490 | Ohio |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | OS15763 | Florida |
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | OS15763 | Florida |
Profile Details
| NPI number | 1497741409 |
|---|---|
| LBN Legal business name | Orem, Randall Corey |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Feb 15th, 2025 - about last year |
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 | 1497741409 | NPPES |
| Ohio | MEDICAID | 2138305 | |
| Ohio | MEDICAID | 0603592 |
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