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Randall Braddom, M.D
NPI 1255302360 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1093 Golden Grove Dr
The Villages, FL 32162 - Phone
- (908) 601-7036
- Fax
- (352) 561-4512
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-06-03
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