Randall P. Riche Mdpa

LBN: Randall P. Riche Mdpa
Randall P. Riche Mdpa is an health care organization with primary practice located at 4700 Bayou Blvd Ste 1B , Pensacola FL 32503-2670. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is the primary health care specialty. Randall P. Riche Mdpa can be contacted via phone (850) 432-9698, or through Riche, Randall Paul via phone (850) 432-9698.

Contact Information

Primary practice address
4700 Bayou Blvd Ste 1B Pensacola FL 32503-2670
Phone: (850) 432-9698
Fax: (850) 432-9453
Website:
Map and Directions
Authorized official contact:
Name: Riche, Randall Paul Doctor of Medicine (MD)
Phone: (850) 432-9698

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME59729 Florida
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X

Profile Details

NPI number 1477510402
LBN Legal business name Randall P. Riche Mdpa
DBA Doing business as
Authorized official Riche, Randall Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 29th, 2021 - about 3 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 1477510402 NPPES
Florida MEDICAID 259118900

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