Cleveland, Randolph
Cleveland, Randolph is an individual health care provider with primary practice located at 2815 S Seacrest Blvd , Boynton Beach FL 33435-7934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cleveland, Randolph can be contacted via phone (561) 737-7733.Contact Information
Primary practice address
2815 S Seacrest Blvd
Boynton Beach FL 33435-7934
Phone: (561) 737-7733
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME0067253 | Florida |
Profile Details
| NPI number | 1649248196 |
|---|---|
| LBN Legal business name | Cleveland, Randolph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Dec 6th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649248196 | NPPES |
| Florida | Other | 32285 | BCBS |
| Florida | Other | P00217018 | BCBS |
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