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Randy Bohon

NPI 1447918503 · on the registry since 2021 · sole proprietor

Practice

Address
11423 Sunburst Marble Rd
Riverview, FL 33579
Phone
(813) 906-9552
Fax
(843) 808-2254

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YM0800X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-04
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida