Individual
RANDY W LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST/CFA
Contact information
Practice address
4004 14TH AVE E, BRADENTON, FL 34208-9013
(941) 951-9767
(760) 731-0414
Mailing address
4004 14TH AVE E, BRADENTON, FL 34208-9013
(941) 951-9767
(760) 731-0414
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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