THESALEE NICOLA RANDON (NPI# 1194811158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194811158 |
Entity Type | Individual |
Full Name | THESALEE NICOLA RANDON |
Credential | M.D. |
Practice Address |
5955 Pouce De Leon Blvd. Coral Gables FL 33146 |
Practice Telephone | 3056611515 |
Practice Fax Number | 3056623723 |
Mailing Telephone | 3056611515 |
Mailing Fax Number | 3056623723 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2014-04-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 064250 | GA | Allopathic & Osteopathic Physicians |
Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
ME117952 | FL | Allopathic & Osteopathic Physicians |
N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
MD036205 | DC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003119777A | 05 |
Street Address |
5955 POUCE DE LEON BLVD. |
City | CORAL GABLES |
State | FL |
Zip Code | 33146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528480431 | Rolando E. Suarez | Nurse Practitioner | 5955 Pouce De Leon Blvd., Coral Gables, FL 33146-2423 | 2014-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932751427 | Megan Gabrielle Mcleod | Dietitian, Registered | 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-07-15 |
1225596919 | Cami Cyan Marshall | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-03-12 |
1225596224 | Daniel Rodriguez | Specialist/Technologist | Knight Sport Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
1134687122 | Nicholas Rice | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
1396222436 | Julienne Cave | Nurse Practitioner | 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 | 2018-07-22 |
1891245379 | Michelle Marie Penaranda | Nurse Practitioner | 1299 Theo Dickinson Dr, Coral Gables, FL 33146 | 2016-10-10 |
1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
1437584455 | Amanda C Pina | Occupational Therapist | 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 | 2013-09-10 |
Find all providers in zip 33146 |
Taxonomy Code | 2080P0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Emergency Medicine |
A pediatrician who has special qualifications to manage emergencies in infants and children. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730356007 | Lazaro C. Daud | Pediatrics | 5955 Ponce De Leon, Coral Gables, FL 33146 | 2008-05-14 |
1407218613 | Angelica Monique Johnson | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2016-03-26 |
1548622764 | Jasmine Nebhrajani | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2016-03-26 |
1619269024 | Evan Scott Sherman | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2011-05-04 |
1699094227 | Melissa Dawn Kivitz-krantzow | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2010-05-21 |
1871826073 | Melinda C Tenorio | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2009-09-08 |
1689802670 | Jenny A. Valencia | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2009-06-29 |
1417115353 | Daniel Jose Ibanez | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-3723 | 2008-05-28 |
1952594483 | Vincent Daniel Sparber | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2007-08-17 |
1770683740 | Juan Lima | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2006-09-22 |
Find all providers in CORAL GABLES |
City | CORAL GABLES |
Zip Code | 33146 |
Please comment or provide details below to improve the information on THESALEE NICOLA RANDON.
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.