Individual
RANDOLPH GRAY HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1934 SALK AVE, TAVARES, FL 32778-0000
(352) 742-2201
Mailing address
1934 SALK AVE, TAVARES, FL 32778-0000
(352) 742-2201
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0075959
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2553716-00
—
FL
Enumeration date
09/30/2005
Last updated
08/07/2013
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