Individual
MICHAEL RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME156559
FL
207YS0123X
Facial Plastic Surgery Physician
Primary
25MA12451300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114868800
—
FL
01
—
B7WRL
BCBS
FL
Enumeration date
04/21/2017
Last updated
05/08/2026
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