Heath, Randolph W

Heath, Randolph W is an sole proprietor health care provider with primary practice located at 120 Health Park Blvd Ste 1 , St Augustine FL 32086-5798. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Heath, Randolph W can be contacted via phone (904) 823-3401.

Contact Information

Primary practice address
120 Health Park Blvd Ste 1 St Augustine FL 32086-5798
Phone: (904) 823-3401
Fax: (904) 829-8649
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2170 Florida

Profile Details

NPI number 1306981378
LBN Legal business name Heath, Randolph W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jun 17th, 2019 - about 7 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.

Request for update

Popular Providers