Randell, Andrea Lee

Randell, Andrea Lee is an individual health care provider with primary practice located at 2770 Capital Medical Blvd Ste 200 , Tallahassee FL 32308-8419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Randell, Andrea Lee can be contacted via phone (850) 878-8235.

Contact Information

Primary practice address
2770 Capital Medical Blvd Ste 200 Tallahassee FL 32308-8419
Phone: (850) 878-8235
Fax: (850) 878-1899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME59307 Florida

Profile Details

NPI number 1508869421
LBN Legal business name Randell, Andrea Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Feb 9th, 2022 - about 2 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 1508869421 NPPES
Georgia MEDICAID 000531759B
Georgia MEDICAID 05263470
Georgia Other 11907
Georgia Other 99039
Georgia Other P00625815

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