Individual
MRS. AMANDA LUCILLE RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3037 LAKELAND HILLS BLVD STE 7A, LAKELAND, FL 33805-2225
(863) 860-4500
Mailing address
12596 US HIGHWAY 98 N, LAKELAND, FL 33809-1089
(863) 860-4500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11017054
FL
Other
Enumeration date
01/13/2022
Last updated
04/22/2024
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