# RANDALL P. RICHE MDPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477510402
- **Authorized official:** DR. RANDALL PAUL RICHE MD (PRESIDENT)
- **Authorized official phone:** (850) 432-9698

## Contact information

- **Practice address:** 4700 BAYOU BLVD STE 1B, PENSACOLA, FL 32503-2670
- **Practice address phone:** (850) 432-9698
- **Practice address fax:** (850) 432-9453
- **Mailing address:** 4700 BAYOU BLVD STE 1B, PENSACOLA, FL 32503-2670
- **Mailing address phone:** (850) 478-1312
- **Mailing address fax:** (850) 432-9453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | ME59729 | FL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 07/29/2021