Randy Banks PA-C
Physician Assistant in Gulf Breeze, FL(View on Map)
Full Name
Randy Banks PA-C
NPI Number
1144248824
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/18/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA 3145
Contact
Information
Purpose
Mailing
Location
Address
801 YORK ST
1200 GULF BREEZE PKWY STE A
City
Manitowoc
Gulf Breeze
State
WI
FL
Postal Code
54220-4630
32561-4851
Country
US
US
Telephone Number
(920) 663-9008
(800) 243-7546
Health Information Exchange
Endpoint Type
DIRECT
DIRECT
DIRECT
Endpoint
Randy.Banks@forefrontdermatology.emadirect.md
Randy.Banks@forefrontdermatology.emadirect.md
Randy.Banks@forefrontdermatology.emadirect.md
Endpoint Description
Unknown
Unknown
Unknown
Use
Unknown
Unknown
Unknown
Content Type
Unknown
Unknown
Unknown
Affiliation
N
N
N
Endpoint Location
530 Fontaine StPensacola, FL325032019US
540 Fontaine StPensacola, FL325032019US
1200 Gulf Breeze Pkwy Ste AGulf Breeze, FL325614851US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/05/2022
Provider Address
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