DR. RANDALL F HUMPHREYS
Allergy and Immunology
Panama City, Florida
Provider NPI: 1558336503
Provider Information:DR. RANDALL F HUMPHREYS
Practice Location:
2401 ST ANDREWS BLVD PANAMA CITY, FL 32405 US
Tel: 850-785-2717 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology | FL | ME59222 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 052572300 | FL | 05 | |
| BCBS OF FLORIDA | 12097 | FL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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