Organization · Type 2 NPI
Randolph Diabetes and Wellness LLC
Adult Medicine Physician · Tampa, FL
NPI number
1609378991
Active
Practice location
13047 W Linebaugh Ave Ste 102
Tampa, FL 33626-4487
Fax (813) 475-6874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9318390 (FL) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
2 other providers at this address
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About NPI 1609378991
Randolph Diabetes and Wellness LLC's National Provider Identifier is 1609378991, issued on Mar 2, 2018. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Tampa, FL. The record was last updated on May 12, 2021.