Individual
DR. RAND W. ALTEMOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3402 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6214
(813) 875-3950
(813) 876-0432
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIAL DEPARTMENT, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME39676
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066470700
—
FL
01
—
30350
BCBS
FL
01
—
P00727027
RR MEDICARE
FL
Enumeration date
01/23/2006
Last updated
10/23/2012
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