Most Relevant Information
Provider Data
| NPI Number: | 1003584616 |
| Provider Name: | NICOLE SUMMER RANDALL PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/31/2021 |
| Last Updated: | 08/31/2021 |
Provider Practice Location
3909 S SUMMERLIN AVE
ORLANDO
FL
328066905
Practice Location Phone/Fax
| Phone: | 4073173200 |
| Fax: |
Provider Mailing Location
2699 LEE RD STE 330
WINTER PARK
FL
327891740
Provider Mailing Phone/Fax
| Phone: | 8002518998 |
| Fax: |