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NPI Code Detail

MEDICARE: DR. RANDALL MARK TAUBMAN

MEDICARE: DR. RANDALL MARK TAUBMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME89977FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528049194
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANDALL MARK TAUBMAN
Provider Business Mailing Address
First Line : PO BOX 4590
Second Line :
City : OCALA
State : FL
Zip : 34478-4590
Country : US
Telephone Number : 352-509-9900
Fax Number : 352-387-2584
Provider Business Practice Location Address
First Line : 3345 BURNS RD STE 302
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4321
Country : US
Telephone Number : 561-622-7661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 08/02/2021

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Directions to “ DR. RANDALL MARK TAUBMAN ” Practice Location

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