CLEVELAND W RANDOLPH JR. (NPI# 1124014287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124014287 |
| Entity Type | Individual |
| Full Name | CLEVELAND W RANDOLPH JR. |
| Credential | M.D. |
| Practice Address |
1891 Beach Blvd Ste. 200 Jacksonville Beach FL 32250-2644 |
| Practice Telephone | 9042493743 |
| Practice Fax Number | 9042492047 |
| Mailing Telephone | 9042493743 |
| Mailing Fax Number | 9042492047 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2008-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME42493 | FL | Other Service Providers |
| Street Address |
1891 BEACH BLVD STE. 200 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629467782 | Cleveland Randolph, Jr, Md, Pa | Pharmacy | 1891 Beach Blvd, Jacksonville Beach, FL 32250-2644 | 2015-01-13 |
| 1295176998 | Esteban Garces | Nurse Practitioner | 1891 Beach Blvd, Suite 200, Jacksonville Beach, FL 32250-2644 | 2013-07-10 |
| 1003065509 | Nicole Thomas | Nurse Practitioner | 1891 Beach Blvd, Suite 200, Jacksonville Beach, FL 32250-2644 | 2008-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184083545 | The Finishing Touch 904 LLC | Specialist | 2441 3rd St S, Jacksonville Beach, FL 32250-4024 | 2016-02-15 |
| 1497808182 | Cleveland W. Randolph Jr Md,pa | Specialist | 1891 Beach Blvd Ste 200, Jacksonville Beach, FL 32250-2644 | 2007-01-18 |
| 1437100187 | Linda Ann Quinn | Specialist | 410 Jacksonville Dr, Jacksonville Beach, FL 32250-3812 | 2006-05-15 |
| 1659747822 | Riverside Spine & Pain Physicians, LLC | Specialist | 1577 Roberts Dr, Suite 326, Jacksonville Beach, FL 32250-3264 | 2015-08-11 |
| 1699936492 | Dr. Anthony L. Capasso M. D. | Specialist | 1351 13th Ave S, Ste # 110, Jacksonville Beach, FL 32250-3234 | 2008-06-24 |
| 1053534792 | Susan Catherine Moyle-schroeder | Specialist | 333 1st St N Ste 200, Jacksonville Beach, FL 32250-6939 | 2007-04-11 |
| 1831222165 | Mark S. Frisk | Specialist | 350 10th Ave S, Jacksonville Beach, FL 32250-5136 | 2007-03-14 |
| 1780792762 | Carl Burak | Specialist | 482 Jacksonville Dr, Jacksonville Beach, FL 32250-3812 | 2006-08-29 |
| 1790713964 | Harry Curtis Benson | Specialist | 1361 13th Ave S Ste 150, Jacksonville Beach, FL 32250-3235 | 2006-06-28 |
| 1932146875 | Beaches Neurology Clinic | Specialist | 1370 13th Ave S Ste 215, Jacksonville Beach, FL 32250-3206 | 2006-05-31 |
| Find all providers in JACKSONVILLE BEACH | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.