MR. Randall T Mathis, PA-C
NPI #1922055391 in St Augustine, Florida
Provider Information
- NPI Number
- 1922055391
- Entity Type
- Individual
- Name
- MR. Randall T Mathis, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- May 30, 2006
- Last Updated
- Apr 16, 2012
Practice Location
- Address
- 100 WHETSTONE PL
- Address 2
- STE 310
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-5774
- Phone
- (904) 217-7450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Surgical — Surgical |
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Individual Providers
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| MR. Joseph C Rice, P.A.-C. | |
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Organizations
| Provider Name | |
|---|---|
| Florida Surgical First Assisting LLC |
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