Organization
RANDALL A RIEGLER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL ALBERT RIEGLER MD (OWNER)
(904) 448-4640
Entity
Organization
Contact information
Practice address
8614 BAYMEADOWS WAY, SUITE 101, JACKSONVILLE, FL 32256-8236
(904) 448-4640
(904) 448-7120
Mailing address
8614 BAYMEADOWS WAY, SUITE 101, JACKSONVILLE, FL 32256-8236
(904) 448-4640
(904) 448-7120
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0050465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046935100
—
FL
Enumeration date
12/12/2012
Last updated
12/12/2012
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