CLEVELAND W. RANDOLPH JR MD,PA
Medical Practice at Beach Blvd, Jacksonville, FL

License number
Florida ME0042493
Category
Medical Practice
Type
Specialist
Owner
Name: DR. CLEVELAND W RANDOLPH JR. M.D.
Title: PHYSICIAN
Phone: (904) 249-3743
Address
Address
1891 Beach Blvd STE 200, Jacksonville, FL 32250
National Provider ID: 1497808182
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CLEVELAND W. RANDOLPH JR MD,PA at bizstanding.com

Cleveland W. Randolph, Jr., M.D. PA

1891 Bch Blvd, Jacksonville, FL 32250

Industry:
Nonclassifiable Establishments
Registration:
Dec 2, 2003
State ID:
P03000142913
Business type:
Domestic for Profit Corporation
President, Director:
Cleveland W. Randolph (President, Director)

Cleveland W. Randolph, Jr., M.D., PA

4130 Salisbury Rd, Jacksonville, FL 32216

Status:
Inactive
Registration:
Mar 11, 1986
State ID:
J03188
Business type:
Domestic for Profit Corporation
President:
Cleveland W. Randolph President, inactive

Medical Practice licenses in Florida










Other Doctors licenses in Florida