Randall B Rigdon LLC

NPI #1982892501 in Merritt Island, Florida

Provider Information

NPI Number: 1982892501
Entity Type: Organization
Organization Name: Randall B Rigdon LLC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Oct 9, 2007
Last Updated: Oct 9, 2007

Practice Location

Address: 270 N SYKES CREEK PKWY
Address 2: SUITE 202
City: Merritt Island
State: Florida
ZIP Code: 32953-3492
Phone: (321) 454-2468

Authorized Official

Name: RANDALL B. RIGDON
Title: PHYSICIAN
Phone: (321) 536-3634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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