DR. Andrew Jerome Randolph, M.D., P.A.

NPI #1982775706 in Deland, Florida

Provider Information

NPI Number: 1982775706
Entity Type: Individual
Name: DR. Andrew Jerome Randolph, M.D., P.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D., P.A.
Enumeration Date: Nov 13, 2006
Last Updated: Jul 9, 2010

Practice Location

Address: 1025 N STONE ST
Address 2: SUITE B
City: Deland
State: Florida
ZIP Code: 32720-0803
Phone: (386) 734-4453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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