Individual
COURTNEY RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11627 SWEET TANGERINE LN, TAMPA, FL 33626-5107
(813) 545-7251
Mailing address
11627 SWEET TANGERINE LN, TAMPA, FL 33626-5107
(813) 545-7251
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9328420
FL
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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