Provider Demographics
NPI:1497207724
Name:CURRO, RANDALL S
Entity Type:Individual
Prefix:
First Name:RANDALL
Middle Name:S
Last Name:CURRO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 CLUB SIDE DR
Mailing Address - Street 2:APT 303
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-6067
Mailing Address - Country:US
Mailing Address - Phone:239-777-6982
Mailing Address - Fax:
Practice Address - Street 1:585 CLUB SIDE DR
Practice Address - Street 2:APT 303
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-6067
Practice Address - Country:US
Practice Address - Phone:239-777-6982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle