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Organization
RANDOLPH'S FAMILY HEALTH AND WELLNESS
Active
Organization
RANDOLPH'S FAMILY HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LUCILLE RANDOLPH APRN (NURSE PRACTITIONER)
(863) 333-0032
Entity
Organization
Contact information
Practice address
3037 LAKELAND HILLS BLVD STE 7A, LAKELAND, FL 33805-2225
(863) 860-4500
Mailing address
12596 US HIGHWAY 98 N, LAKELAND, FL 33809-1089
(863) 860-4500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
04/22/2024
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