Individual
RANDOLPH W HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
120 HEALTH PARK BLVD STE 1, ST AUGUSTINE, FL 32086-5798
(904) 823-3401
(904) 829-8649
Mailing address
120 HEALTH PARK BLVD STE 1, ST AUGUSTINE, FL 32086-5798
(904) 823-3401
(904) 829-8649
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2170
FL
Other
Enumeration date
02/20/2007
Last updated
06/17/2019
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