Individual
DR. BYRON MARTIN RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7932 SAND LAKE RD STE 203, ORLANDO, FL 32819
(407) 355-9820
Mailing address
4206 EASTGATE DR APT 2204, ORLANDO, FL 32839-2862
(813) 523-3502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT34719
FL
Other
Enumeration date
08/04/2019
Last updated
08/04/2019
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