Panckeri, Randall
Panckeri, Randall is an individual health care provider with primary practice located at 10245 Sw Village Pkwy Apt 304 , Port St Lucie FL 34987-2365. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Panckeri, Randall can be contacted via phone (732) 552-6295.Contact Information
Primary practice address
10245 Sw Village Pkwy Apt 304
Port St Lucie FL 34987-2365
Phone: (732) 552-6295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | Florida | |
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1467084533 |
|---|---|
| LBN Legal business name | Panckeri, Randall |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2020 |
| Last updated | Feb 6th, 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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