Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cleveland W Randolph, Jr, MD, PA

Organization Specialist · NPI 1497808182

Cleveland W Randolph, Jr, MD, PA is a Specialist in Jacksonville Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1891 Beach Blvd Ste 200
Jacksonville Beach, FL 32250-2644
Phone: (904) 249-3743
Fax: (904) 249-2047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME0042493 (FL)

Record details

NPI number1497808182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Galler — Practice Administrator · (904) 249-3743
Other names Dr. Randolph'S Ageless & Wellness Medical Center
NPI enumeratedJanuary 18, 2007
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing address1891 Beach Blvd Ste 200, Jacksonville Beach, FL 32250-2644

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