Smith, Randall Don

Smith, Randall Don is an individual health care provider with primary practice located at 4551 North Davis Hwy Suite C, Pensacola FL 32503. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Smith, Randall Don can be contacted via phone (850) 473-2772.

Contact Information

Primary practice address
4551 North Davis Hwy Suite C Pensacola FL 32503
Phone: (850) 473-2772
Fax: (850) 474-4123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT3301 Florida

Profile Details

NPI number 1164408084
LBN Legal business name Smith, Randall Don
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Nov 7th, 2012 - about 13 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 1164408084 NPPES
Florida Other Y7437 BCBS FLORIDA
Florida Other 59197541 BCBS FLORIDA

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