Individual
RANDOLF R HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4798
(407) 834-7776
(407) 834-0973
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
(407) 834-7776
(407) 834-0973
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
ARNP 935292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033396400
—
FL
Enumeration date
01/28/2006
Last updated
07/26/2016
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