Individual
RANDELL ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 PRUDENTIAL DR, SUITE 100, JACKSONVILLE, FL 32207-8147
(904) 633-0190
(904) 633-0191
Mailing address
1650 PRUDENTIAL DR, SUITE 100, JACKSONVILLE, FL 32207-8147
(904) 633-0190
(904) 633-0191
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
045690
GA
208000000X
Pediatrics Physician
Primary
ME91394
FL
Other
Enumeration date
07/21/2005
Last updated
09/06/2007
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