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1336136191
RANDY H CARROLL
ORLANDO, FL
NPI
1336136191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9103115)
Enumeration Date
2005-10-05
Last Update Date
2007-07-08
Business Address
-- RANDY H CARROLL PA
601 E ROLLINS ST
ORLANDO, FL 32803-1248
Phone number: 407-303-5600
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Mailing Address
-- RANDY H CARROLL PA
500 WINDERLEY PL SUITE 115
MAITLAND, FL 32751-7247
Phone number: 407-875-8784
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