Randolph Diabetes And Wellness Llc

LBN: Randolph Diabetes And Wellness Llc
Randolph Diabetes And Wellness Llc is an health care organization with primary practice located at 13047 W Linebaugh Ave Ste 102 , Tampa FL 33626-4487. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Ambulatory Health Care Facilities / Health Service, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Adult Medicine is the primary health care specialty. Randolph Diabetes And Wellness Llc can be contacted via phone (813) 475-6542, or through Randolph, Kimberly T via phone (813) 846-7698.

Contact Information

Primary practice address
13047 W Linebaugh Ave Ste 102 Tampa FL 33626-4487
Phone: (813) 475-6542
Fax: (813) 475-6874
Website:
Map and Directions
Authorized official contact:
Name: Randolph, Kimberly T APRN-C
Phone: (813) 846-7698

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9318390 Florida

Profile Details

NPI number 1609378991
LBN Legal business name Randolph Diabetes And Wellness Llc
DBA Doing business as
Authorized official Randolph, Kimberly T APRN-C
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2018
Last updated May 12th, 2021 - about 3 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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