Randolph, Matthew

Randolph, Matthew is an individual health care provider with primary practice located at 529 Nw 60Th St , Gainesville FL 32607-2008. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Randolph, Matthew can be contacted via phone (352) 331-5100.

Contact Information

Primary practice address
529 Nw 60Th St Gainesville FL 32607-2008
Phone: (352) 331-5100
Fax: (352) 332-9607
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9315572 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9315572 Florida

Profile Details

NPI number 1437408887
LBN Legal business name Randolph, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2012
Last updated Oct 16th, 2017 - about 9 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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