Randel, Sidney
Randel, Sidney is an individual health care provider with primary practice located at 5810 Coral Ridge Dr Ste 300 , Coral Springs FL 33076-3377. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Randel, Sidney can be contacted via phone (954) 414-7700.Contact Information
Primary practice address
5810 Coral Ridge Dr Ste 300
Coral Springs FL 33076-3377
Phone: (954) 414-7700
Fax: (954) 840-0850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME48273 | Florida |
Profile Details
| NPI number | 1821085671 |
|---|---|
| LBN Legal business name | Randel, Sidney |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Jun 26th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821085671 | NPPES |
| Florida | MEDICAID | 045879100 |
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