RANDOLPH MEDICAL PRACTICES PA
Medical Practice at Methodist Ter, Lake City, FL

License number
Florida ME46235
Category
Osteopathic Medicine
Type
Family Medicine
License number
Florida ME51982
Category
Medical Practice
Type
Pediatrics
Owner
Name: MRS. MARY LOU KREWSON
Title: ADMINISTRATOR
Phone: (386) 755-1440
Address
Address
348 NE Methodist Ter SUITE 103, Lake City, FL 32055
National Provider ID: 1144320052
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Randolph Medical Practices, PA

Lake City, FL

Industry:
Medical Doctor's Office
Doing business as:
Randolph, Athena MD
Registration:
Jun 3, 1999
Phone:
(386) 755-1440 (Phone)
Addresses:
348 NE Methodist Ter, Lake City, FL 32055
1847 SW Barnett Way, Lake City, FL 32025
State ID:
P99000051395
Business type:
Domestic for Profit Corporation
Treasurer, Secretary, Vice Presidents:
Tommy L. Randolph (President),Athena R. Randolph (Treasurer, Secretary, Vice President)
Categories:
Pediatrics Physicians & Surgeons, Physicians & Surgeons
Products:
Neonatal & Newborn Care

Randolph Medical Practices Pa - Athena Randolph MD

1847 SW Barnett Way, Lake City, FL 32025

Categories:
Pediatrics Physicians & Surgeons, Physicians & Surgeons
Phone:
(386) 755-1440 (Phone)
Products:
Neonatal & Newborn Care

Randolph Medical Practices Pa - Tommy Randolph MD

1847 SW Barnett Way, Lake City, FL 32025

Categories:
Family & General Practice Physicians & Surgeons, Pediatrics Physicians & Surgeons, Physicians & Surgeons
Phone:
(386) 755-1440 (Phone)
Products:
Neonatal & Newborn Care

Randolph Medical Practices Pa - Richard G Valenzuela MD

1847 SW Barnett Way, Lake City, FL 32025

Categories:
Physicians & Surgeons
Phone:
(386) 755-1440 (Phone)

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