# RANDALL HUMPHREYS P A

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

## Provider details

- **NPI number:** 1548372873
- **Authorized official:** DR. RANDALL F HUMPHREYS M.D. (PRESIDENT)
- **Authorized official phone:** (850) 785-2717

## Contact information

- **Practice address:** 2401 SAINT ANDREWS BLVD, PANAMA CITY, FL 32405-2170
- **Practice address phone:** (850) 785-2717
- **Practice address fax:** (850) 785-2301
- **Mailing address:** 2401 SAINT ANDREWS BLVD, PANAMA CITY, FL 32405-2170
- **Mailing address phone:** (850) 785-2717
- **Mailing address fax:** (850) 785-2301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | ME59222 | FL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/02/2010