DR. RANDALL ERIC SILLER D.O. NPI 1093928715

NPI Information

NPI: 1093928715
Provider Name: DR. RANDALL ERIC SILLER, D.O.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
10041 PINES BLVD
SUITE A
PEMBROKE PINES, FL
ZIP 33024
Phone: (954) 432-6677
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DR. Randall Eric Siller, D.O. is a general practice in Pembroke Pines, FL. DR. Randall Eric Siller, D.O. NPI is 1093928715. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10041 PINES BLVD
SUITE A
PEMBROKE PINES, FL
ZIP 33024-170
Phone: (954) 432-6677
Fax: (954) 432-6905

The enumeration date for this NPI number is 5/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		OS4734	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	82646	MEDICARE UPIN	FLORIDA
2	E32284	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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