Provider Demographics
NPI:1528010980
Name:WILLIAM J RAND MDPA
Entity Type:Organization
Organization Name:WILLIAM J RAND MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:G
Authorized Official - Last Name:RAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-782-1700
Mailing Address - Street 1:5 W SAMPLE RD
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-3542
Mailing Address - Country:US
Mailing Address - Phone:954-782-1700
Mailing Address - Fax:
Practice Address - Street 1:5 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-3542
Practice Address - Country:US
Practice Address - Phone:954-782-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL20541ZMedicare ID - Type UnspecifiedDR. PERRY
FL20574ZMedicare ID - Type UnspecifiedDR. MARINO
FL93654ZMedicare ID - Type UnspecifiedDR. RAND
FL48384ZMedicare ID - Type UnspecifiedDR. ESQUENAZI
FL61173ZMedicare ID - Type UnspecifiedDR. ESTRIN
FL31217ZMedicare ID - Type UnspecifiedDR. NAGLER