Cleveland W. Randolph Jr Md,Pa

LBN: Cleveland W. Randolph Jr Md,Pa
Cleveland W. Randolph Jr Md,Pa is an health care organization with primary practice located at 1891 Beach Blvd Ste 200 , Jacksonville Beach FL 32250-2644. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Cleveland W. Randolph Jr Md,Pa can be contacted via phone (904) 249-3743, or through Randolph, Cleveland W via phone (904) 249-3743.

Contact Information

Primary practice address
1891 Beach Blvd Ste 200 Jacksonville Beach FL 32250-2644
Phone: (904) 249-3743
Fax: (904) 249-2047
Website:
Map and Directions
Authorized official contact:
Name: Randolph, Cleveland W Doctor of Medicine (MD)
Phone: (904) 249-3743

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0042493 Florida

Profile Details

NPI number 1497808182
LBN Legal business name Cleveland W. Randolph Jr Md,Pa
DBA Doing business as
Authorized official Randolph, Cleveland W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Aug 18th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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