RANDALL B RIGDON LLC NPI 1982892501

NPI Information

  • NPI: 1982892501
  • Provider Name: RANDALL B RIGDON LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 270 N SYKES CREEK PKWY
    SUITE 202
    MERRITT ISLAND, FL
    ZIP 32953
  • Phone: (321) 454-2468

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NPI Details

RANDALL B RIGDON LLC is a primary care clinic center in Merritt Island, FL. RANDALL B RIGDON LLC NPI is 1982892501. The provider is registered as an organization entity type.

The provider's business location address is:

270 N SYKES CREEK PKWY
SUITE 202
MERRITT ISLAND, FL
ZIP 32953-492
Phone: (321) 454-2468
Fax: (321) 454-2469

The provider's authorized official is Randall B. Rigdon .
The authorized official title is Physician and has the following contact phone number (321) 536-3634.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 10/9/2007.

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
1261QP2300XClinic/CenterPrimary CareME75248FLORIDAYes

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
1G66873MEDICARE UPINFLORIDA

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: 11/21/2025

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