RANDALL B RIGDON LLC
Ambulatory Health at Sykes Creek Pkwy, Merritt Island, FL

License number
Florida ME75248
Category
Ambulatory Health
Type
Primary Care
Owner
Name: RANDALL B. RIGDON
Title: PHYSICIAN
Phone: (321) 536-3634
Address
Address
270 N Sykes Creek Pkwy SUITE 202, Merritt Island, FL 32953
National Provider ID: 1982892501
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RANDALL B RIGDON LLC

Merritt Island, FL

Doing business as:
Randall B Rigdon MD
Registration:
Sep 26, 2007
Addresses:
275 N Sykes Crk Pkwy SUITE 202, Merritt Island, FL 32953 (Physical)
270 N Sykes Crk Pkwy, Merritt Island, FL 32953
3120 S Courtenay Pkwy, Merritt Island, FL 32952
State ID:
L07000098039
Business type:
Florida Limited Liability Company
Physician Assistants:
Randall B Rigdon (Internal Medicine, Medical Doctor, Principal, Manager), 270 N Sykes Crk Pkwy, Merritt Island, FL 32953 (Physical),Daniel J. Calabrese (Physician Assistant)
Agent:
Kendall Rigdon,7165 Murrell Rd SUITE 101, Melbourne, FL 32940 (Physical)
EIN:
611540236

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