# RANDALL P WEYRICH MD LLC

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

## Provider details

- **NPI number:** 1720527021
- **Authorized official:** DR. RANDALL P WEYRICH MD (PROVIDER)
- **Authorized official phone:** (304) 639-3427

## Contact information

- **Practice address:** 6602 SEABIRD WAY, APOLLO BEACH, FL 33572-3003
- **Practice address phone:** (304) 639-3427
- **Practice address fax:** (813) 498-0355
- **Mailing address:** 6602 SEABIRD WAY, APOLLO BEACH, FL 33572-3003
- **Mailing address phone:** (304) 639-3427
- **Mailing address fax:** (813) 498-0355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | ME111722 | FL | Yes |

## Other

- **Enumeration date:** 02/20/2017
- **Last updated:** 02/20/2017