Individual
ROBERT L. RANDELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, DEPT. OF PATHOLOGY, ORLANDO, FL 32803-1248
(407) 303-6611
Mailing address
PO BOX 140987, ORLANDO, FL 32814-0987
(407) 422-9831
(407) 648-2065
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
ME73884
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME73884
FL
Other
Enumeration date
11/21/2005
Last updated
08/02/2007
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