Individual provider · Type 1 NPI

Cleveland W. Randolph Jr., MD

Specialist · Jacksonville Beach, FL

NPI number 1124014287 Active

Practice location

1891 Beach Blvd, Ste. 200
Jacksonville Beach, FL 32250-2644

Call (904) 249-3743 Map

Fax (904) 249-2047

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME42493 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1124014287

Cleveland W. Randolph Jr., MD's National Provider Identifier is 1124014287, issued on Sep 23, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Aug 18, 2008.