Randolph, Cleveland W

Randolph, Cleveland W is an sole proprietor health care provider with primary practice located at 1891 Beach Blvd Ste. 200, Jacksonville Beach FL 32250-2644. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Randolph, Cleveland W can be contacted via phone (904) 249-3743.

Contact Information

Primary practice address
1891 Beach Blvd Ste. 200 Jacksonville Beach FL 32250-2644
Phone: (904) 249-3743
Fax: (904) 249-2047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME42493 Florida

Profile Details

NPI number 1124014287
LBN Legal business name Randolph, Cleveland W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2005
Last updated Aug 18th, 2008 - about 18 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.

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