Brown, Randall W.
Brown, Randall W. is an sole proprietor health care provider with primary practice located at 1600 Sw Archer Rd D7-6, Gainesville FL 32610-0416. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Brown, Randall W. can be contacted via phone (352) 273-6750.Contact Information
Primary practice address
1600 Sw Archer Rd D7-6
Gainesville FL 32610-0416
Phone: (352) 273-6750
Fax: (352) 392-7609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN9996 | Florida |
Profile Details
| NPI number | 1164403515 |
|---|---|
| LBN Legal business name | Brown, Randall W. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Nov 9th, 2016 - about 8 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 | 1164403515 | NPPES |
| Florida | MEDICAID | 072402500 |
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