Randolph Medical Practices Pa
LBN: Randolph Medical Practices Pa
Randolph Medical Practices Pa is an health care organization with primary practice located at 1847 Sw Barnett Way , Lake City FL 32025-6957. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Randolph Medical Practices Pa can be contacted via phone (386) 755-1440, or through Randolph, Tommy Lavaughn via phone (386) 755-1440.
Contact Information
Primary practice address
1847 Sw Barnett Way
Lake City FL 32025-6957
Phone: (386) 755-1440
Fax: (386) 758-5628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME46235 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME51982 | Florida |
Profile Details
| NPI number | 1144320052 |
|---|---|
| LBN Legal business name | Randolph Medical Practices Pa |
| DBA Doing business as | |
| Authorized official | Randolph, Tommy Lavaughn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Oct 31st, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144320052 | NPPES |
| Florida | MEDICAID | 256113100 | |
| Florida | Other | 38690 |
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