Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARL RANDOLPH RANDOLPH, ATC
Active Sole ProprietorCARL RANDOLPH RANDOLPH, ATC is a Athletic Trainer healthcare provider located in BRADENTON, Florida. NPI 1215033980 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BRADENTON, FL
Registration Details
- NPI Number
- 1215033980
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2006 (19.867784123577 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AL 539 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1701 27TH ST EBRADENTON, FL, 342087831Browse FL providers · Browse ZIP 34208
- Phone
- 9417473031
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BRADENTON, FL
| Name | Credential | NPI |
|---|---|---|
| MR. MARCUS ALAN HOLLIDAY | ATC | 1114903853 |
| MR. DOMINICK MICHAEL BENNESE | M.B.A., ATC/L | 1295796522 |
| RYAN MACCINI | ATC, PES | 1164483848 |
| MR. JOSE JULIAN MINISTRAL | ATC., CSCS. | 1336296268 |
| CHARLES JOHN REDA JR. | ATC | 1164552295 |
| MR. CHRISTOPHER BRIAN BLANK | ATC, LAT | 1902094642 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.