Individual
RANDOLPH CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7934
(561) 737-7733
Mailing address
PO BOX 863481, ORLANDO, FL 32886-3481
(800) 514-1494
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0067253
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32285
BCBS
FL
01
—
P00217018
RR MCR
FL
Enumeration date
03/10/2006
Last updated
12/06/2007
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