Randall Humphreys P A

LBN: Randall Humphreys P A
Randall Humphreys P A is an health care organization with primary practice located at 2401 Saint Andrews Blvd , Panama City FL 32405-2170. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as the primary health care specialty. Randall Humphreys P A can be contacted via phone (850) 785-2717, or through Humphreys, Randall F via phone (850) 785-2717.

Contact Information

Primary practice address
2401 Saint Andrews Blvd Panama City FL 32405-2170
Phone: (850) 785-2717
Fax: (850) 785-2301
Website:
Map and Directions
Authorized official contact:
Name: Humphreys, Randall F Doctor of Medicine (MD)
Phone: (850) 785-2717

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME59222 Florida

Profile Details

NPI number 1548372873
LBN Legal business name Randall Humphreys P A
DBA Doing business as
Authorized official Humphreys, Randall F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 2nd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548372873 NPPES
Florida MEDICAID 052572300
Florida Other 12097

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