Individual
GERALD LEE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 14TH ST SW, LARGO, FL 33770-3133
(315) 456-8458
Mailing address
1100 CLEARWATER LARGO RD N, LARGO, FL 33770-4131
(727) 518-6444
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS13990
FL
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
07/28/2014
Last updated
04/20/2021
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