THESALEE NICOLA RANDON


Address: 5955 Pouce De Leon Blvd., Coral Gables, FL 33146
Phone: 3056611515

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA 003119777A 05

Office Location

Street Address 5955 POUCE DE LEON BLVD.
City CORAL GABLES
State FL
Zip Code 33146

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528480431 Rolando E. Suarez Nurse Practitioner 5955 Pouce De Leon Blvd., Coral Gables, FL 33146-2423 2014-01-11

Providers in the same zip code

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 Information

Taxonomy Code 2080P0204X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City CORAL GABLES
Zip Code 33146

Improve Information

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Dataset Information

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.

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