Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DN4270 | FL |
NPI | 1104120013 |
---|---|
Provider Name | Dr. Randall B Caton |
First Address | Gainesville, FL 32605-5813 |
Second Address | Gainesville, FL 32605-5813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2011 |
Last Update Date | 06/01/2011 |