Organization
RANDALL P WEYRICH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL P WEYRICH MD (PROVIDER)
(304) 639-3427
Entity
Organization
Contact information
Practice address
6602 SEABIRD WAY, APOLLO BEACH, FL 33572-3003
(304) 639-3427
(813) 498-0355
Mailing address
6602 SEABIRD WAY, APOLLO BEACH, FL 33572-3003
(304) 639-3427
(813) 498-0355
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
ME111722
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019027800
—
FL
Enumeration date
02/20/2017
Last updated
02/20/2017
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