Individual
WILLIAM RANDALL POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
500 WINDERLEY PL, SUITE 115, MAITLAND, FL 32751-7247
(407) 875-8784
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
ME0051112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046647600
—
FL
Enumeration date
10/10/2005
Last updated
11/22/2010
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