Riegler, Randall Albert

Riegler, Randall Albert is an sole proprietor health care provider with primary practice located at 8614 Baymeadows Way Suite 101, Jacksonville FL 32256-8236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Riegler, Randall Albert can be contacted via phone (904) 448-4640.

Contact Information

Primary practice address
8614 Baymeadows Way Suite 101 Jacksonville FL 32256-8236
Fax: (904) 448-7120
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME0050465 Florida

Profile Details

NPI number 1467413120
LBN Legal business name Riegler, Randall Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Dec 12th, 2012 - about 12 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 1467413120 NPPES
Florida MEDICAID 046935100

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