Individual
RANDELL G POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 S ANDREWS AVE, 3RD FLOOR, FORT LAUDERDALE, FL 33316
(954) 763-6655
(954) 763-6799
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 763-6655
(954) 763-6799
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME50450
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03726
BCBS
FL
05
—
270228200
—
FL
Enumeration date
04/17/2006
Last updated
07/29/2022
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