MEDICARE: JAMES RANDOLPH SLUSHER M.D.

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
1	207RR0500X	Rheumatology Physician	TRN 9489	FL
2	207RR0500X	Rheumatology Physician	ME99059	FL

General Provider Information

NPI Number	:	1851509939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES RANDOLPH SLUSHER M.D.

Provider Business Mailing Address
First Line	:	1801 W HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1442
Country	:	US
Telephone Number	:	954-429-9050
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 W HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1442
Country	:	US
Telephone Number	:	954-429-9050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2007
Last Update Date	:	01/27/2009

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