Individual provider · Type 1 NPI

Randy H. Carroll, PA

Medical Physician Assistant · Orlando, FL

NPI number 1336136191 Active

Practice location

601 E Rollins St
Orlando, FL 32803-1248

Call (407) 303-5600 Map

Mailing address

500 Winderley Pl, Suite 115
Maitland, FL 32751-7247

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9103115 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1336136191

Randy H. Carroll, PA's National Provider Identifier is 1336136191, issued on Oct 5, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orlando, FL. The record was last updated on Jul 8, 2007.