MR. JOSEPH CARMINE RANDAZZO JR. (NPI# 1992354948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992354948 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH CARMINE RANDAZZO JR. |
| Credential | PA-C |
| Practice Address |
1324 Lakeland Hills Blvd Attn: Managed Care Depot Lakeland FL 33805-4543 |
| Practice Telephone | 8636871250 |
| Practice Fax Number | 8636871258 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
9112498 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457566093 | Joseph D Randazzo | Dentist | 1544 Kuser Rd, Suite C3, Trenton, NJ 08619-3830 | 2007-05-14 |
| 1275756124 | Joseph Randazzo | Social Worker | 6707 Embarcadero Dr, Stockton, CA 95219-3382 | 2007-04-10 |
| 1770629057 | Joseph Randazzo | Case Manager/Care Coordinator | 278 Pleasant St, Concord, NH 03301-2551 | 2007-01-30 |
| Street Address |
1324 LAKELAND HILLS BLVD ATTN: MANAGED CARE DEPOT |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760489900 | James Francis Murray II | Obstetrics & Gynecology | 1324 Lakeland Hills Blvd, Pavilion, Lakeland, FL 33508 | 2005-07-01 |
| 1144821059 | Jennifer Mclaughlin | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-11-06 |
| 1861092595 | Hortense Marcia Watson | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-10-30 |
| 1073129953 | Lilia Yakubov | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-09-16 |
| 1093340374 | Rashika Battle | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-03-07 |
| 1871128363 | Maria Lana Barnes | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-03-05 |
| 1710519129 | Joshua Parker Thompson | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-02-04 |
| 1932741683 | Katie Elizabeth Deines | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-15 |
| 1700428968 | Jasmine Nazirbage | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-09 |
| 1578104824 | Kristopher Dillon Wilson | Physician Assistant | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760758643 | Sunshine Assistant LLC | Physician Assistant | 6308 Prominence Point Drive, Lakeland, FL 33813-4491 | 2012-03-26 |
| 1134779812 | Mallory Bastian | Physician Assistant | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2019-09-16 |
| 1659740835 | Laura Zambetti | Physician Assistant | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2015-09-17 |
| 1528480480 | Jessica Lyons | Physician Assistant | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2014-01-13 |
| 1447502828 | Weslyn A Leffler | Physician Assistant | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2012-10-09 |
| 1689940934 | Kyle Merritt | Physician Assistant | 1818 Harden Blvd, Suite 120, Lakeland, FL 33803-1812 | 2012-03-30 |
| 1689945693 | Seth D Gardner | Physician Assistant | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2012-01-23 |
| 1528357183 | Megan E Fincham | Physician Assistant | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2011-04-05 |
| 1750538294 | Janet Faith Mccabe | Physician Assistant | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2008-08-27 |
| 1962667881 | William Travis Fann | Physician Assistant | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2008-07-21 |
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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.