Individual
RANDELL A DOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-1842
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-1842
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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