Individual
MR. RANDOLPH FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV
Contact information
Practice address
4071 L B MCLEOD RD STE A, ORLANDO, FL 32811-5662
(407) 745-4671
Mailing address
5914 LONG PEAK DR, ORLANDO, FL 32810-3244
(321) 695-2975
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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