Miercort, Craig Randall

Miercort, Craig Randall is an individual health care provider with primary practice located at 6600 66Th St N , Pinellas Park FL 33781-5040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Miercort, Craig Randall can be contacted via phone (727) 343-0600.

Contact Information

Primary practice address
6600 66Th St N Pinellas Park FL 33781-5040
Phone: (727) 343-0600
Fax: (727) 344-6163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME87496 Florida

Profile Details

NPI number 1578532750
LBN Legal business name Miercort, Craig Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jun 24th, 2020 - about 4 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 1578532750 NPPES
Florida MEDICAID 268527200

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