Individual
MARCUM RALPH RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP, LPT
Contact information
Practice address
7051 CYPRESS TER STE 108, FORT MYERS, FL 33907-8801
(239) 437-4010
Mailing address
7051 CYPRESS TER STE 108, FORT MYERS, FL 33907-8801
(239) 437-4010
Taxonomy
Speciality
Code
Description
License number
State
2251H1300X
Human Factors Physical Therapist
Primary
PT4272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6695430001
MEDICARE
FL
Enumeration date
01/09/2013
Last updated
01/09/2013
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