Randall, Betty G

Randall, Betty G is an individual health care provider with primary practice located at 3310 Lakeland Hills Blvd , Lakeland FL 33805-1974. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Randall, Betty G can be contacted via phone (863) 802-6600.

Contact Information

Primary practice address
3310 Lakeland Hills Blvd Lakeland FL 33805-1974
Phone: (863) 802-6600
Fax: (863) 802-6639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1375 Florida

Profile Details

NPI number 1730371626
LBN Legal business name Randall, Betty G
Credentials AUD, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2007
Last updated Jun 4th, 2021 - about 3 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 1730371626 NPPES
Florida Other AF241Z MEDICARE
Florida MEDICAID 600538100 MEDICARE

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