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Individual

DR. RANDALL P COWDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1265 VISCAYA PKWY, CAPE CORAL, FL 33990-3237
(239) 574-2229
(239) 574-2762
Mailing address
13740 CYPRESS TERRACE CIR, FORT MYERS, FL 33907-8827
(239) 275-5522
(239) 275-4464

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME30565
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000011209M
HUMANA
FL
05
039921300
FL
01
15708
STAYWELL
FL
01
210199
AVMED
FL
01
36276
BC/BS OF FLORIDA
FL
Enumeration date
11/16/2005
Last updated
02/01/2010
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