Perreira, Randall

Perreira, Randall is an individual health care provider with primary practice located at 7544 Jacque Rd , Hudson FL 34667. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Perreira, Randall can be contacted via phone (727) 697-2200.

Contact Information

Primary practice address
7544 Jacque Rd Hudson FL 34667
Phone: (727) 697-2200
Fax: (727) 863-8774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0001786 Florida

Profile Details

NPI number 1861429094
LBN Legal business name Perreira, Randall
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated May 2nd, 2008 - about 17 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 1861429094 NPPES
Florida MEDICAID 290641400

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