Provider Demographics
NPI:1598563181
Name:RANDI BIRR, DC, PLLC
Entity type:Organization
Organization Name:RANDI BIRR, DC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANDI
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BIRR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-598-2244
Mailing Address - Street 1:5695 NAPLES BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-2023
Mailing Address - Country:US
Mailing Address - Phone:239-598-2244
Mailing Address - Fax:
Practice Address - Street 1:5695 NAPLES BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-2023
Practice Address - Country:US
Practice Address - Phone:239-598-2244
Practice Address - Fax:239-598-5035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center