Andrew J. Randolph MD PA

NPI #1720381833 in Deland, Florida

Provider Information

NPI Number: 1720381833
Entity Type: Organization
Organization Name: Andrew J. Randolph MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Dec 10, 2010
Last Updated: Dec 10, 2010

Practice Location

Address: 1025 N STONE ST STE B
City: Deland
State: Florida
ZIP Code: 32720-0803
Phone: (386) 734-4453

Authorized Official

Name: DR. ANDREW J RANDOLPH
Title: PRESIDENT
Phone: (386) 734-4453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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