David F Randolph Dmd Pa

LBN: David F Randolph Dmd Pa
David F Randolph Dmd Pa is an health care organization with primary practice located at 1779 Sw Barnett Way Ste 101 , Lake City FL 32025-6957. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. David F Randolph Dmd Pa can be contacted via phone (386) 755-4033, or through Randolph, David F via phone (386) 755-4033.

Contact Information

Primary practice address
1779 Sw Barnett Way Ste 101 Lake City FL 32025-6957
Phone: (386) 755-4033
Fax: (386) 755-2581
Website:
Map and Directions
Authorized official contact:
Name: Randolph, David F
Phone: (386) 755-4033

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9899 Florida

Profile Details

NPI number 1528189446
LBN Legal business name David F Randolph Dmd Pa
DBA Doing business as
Authorized official Randolph, David F
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Sep 23rd, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528189446 NPPES
Florida Other 60390 BLUE CROSS BLUE SHIELD

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