| Doctor Name: | DR. RANDALL ERIC SILLER |
| NPI Number: | 1093928715 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OS4734 |
| Business Practice Address: | 10041 Pines Blvd Suite A Pembroke Pines, FL - 330246170 |
| Business Phone Number: | 9544326677 |
| Business Fax Number: | 9544326905 |
| Mailing Address: | 2631 Center Court Dr, WESTON |
| State: | FL |
| Postal Code: | 333321832 |
| Phone Number: | 9542178394 |
| Fax Number: | 9544326905 |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS4734 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |