Individual
RANDOLPH SMOAKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13619 NW CONVERGENCE BLVD, ALACHUA, FL 32615-0040
(352) 575-5294
Mailing address
13619 NW CONVERGENCE BLVD, ALACHUA, FL 32615-0040
(352) 575-5294
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
FL
372600000X
Adult Companion
Primary
—
FL
374U00000X
Home Health Aide
—
FL
385H00000X
Respite Care
—
FL
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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