Individual
CLEVELAND W RANDOLPH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1891 BEACH BLVD, STE. 200, JACKSONVILLE BEACH, FL 32250-2644
(904) 249-3743
(904) 249-2047
Mailing address
1891 BEACH BLVD, STE. 200, JACKSONVILLE BEACH, FL 32250-2644
(904) 249-3743
(904) 249-2047
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME42493
FL
Other
Enumeration date
09/23/2005
Last updated
08/18/2008
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