Active NPI
Randall Deal, RNFA
- Specialist
- Lake Worth, FL
National Provider Identifier
1487842753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- RN1919072
- Practice address
- 5791 Lago del Sol Dr
Lake Worth, FL 33449-5426 - Phone
- (561) 642-7398
- NPI assigned
- Oct 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | RN1919072 | FL | Primary |
Addresses
Primary practice location
5791 Lago del Sol Dr
Lake Worth, FL 33449-5426
Mailing address
5791 Lago del Sol Dr
Lake Worth, FL 33449-5426
Phone (561) 642-7398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1919072 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1487842753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5791 LAGO DEL SOL DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334495426",
"telephone_number": "561-642-7398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5791 LAGO DEL SOL DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334495426",
"telephone_number": "561-642-7398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAL",
"first_name": "RANDALL",
"credential": "RNFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "RN1919072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.