Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | ME56289 | FL |
NPI | 1548269004 |
---|---|
Provider Name | Dr. Randall Alan Loy |
First Address | Orlando, FL 32804-4049 |
Second Address | Winter Park, FL 32789-5500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2005 |
Last Update Date | 31/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B98065 | (02) | |
B98065 | UPIN (01) |