Organization · Type 2 NPI

Cleveland W Randolph, Jr, Md, PA

Specialist · Jacksonville Beach, FL

NPI number 1497808182 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 174400000XME0042493 (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 1497808182

Cleveland W Randolph, Jr, Md, PA's National Provider Identifier is 1497808182, issued on Jan 18, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Dec 1, 2025.