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Individual

SIDNEY RANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5810 CORAL RIDGE DR STE 300, CORAL SPRINGS, FL 33076-3377
(954) 414-7700
(954) 840-0850
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 414-7700
(954) 840-0850

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME48273
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
045879100
FL
Enumeration date
10/05/2005
Last updated
06/26/2020
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