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Individual

DR. RODERICK MORRISON FITZ-RANDOLPH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 780-8266
(813) 355-5045
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 780-1255

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME47220
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006453700
FL
01
P01080514
R&R MEDICARE
FL
Enumeration date
12/28/2005
Last updated
07/10/2013
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